Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference		0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What was administered
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:ATC		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text		0..1	string	Descrizione testuale del farmaco
subject		1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier
value		0..1	string	Codice Fiscale
Slices for effective[x]		1..1	dateTime, Period	Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	Start and end time of administration
start		1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end		0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer		1..1	BackboneElement	Who performed the medication administration and what they did
actor		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Persona che somministra il farmaco
dosage		1..1	BackboneElement	Details of how medication was taken
site		1..1	CodeableConcept	Sito di somministrazione
route		1..1	CodeableConcept	Via di somministrazione
dose		1..1	SimpleQuantity	Dose
rate[x]		0..1	Ratio, SimpleQuantity	Frequenza di assunzione
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
Slices for effective[x]	Σ	1..1		Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Start and end time of administration
start	ΣC	1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end	ΣC	0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer	Σ	1..1	BackboneElement	Who performed the medication administration and what they did
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Persona che somministra il farmaco
dosage	C	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
site		1..1	CodeableConcept	Sito di somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	Via di somministrazione 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.
dose		1..1	SimpleQuantity	Dose
rate[x]		0..1		Frequenza di assunzione
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
MedicationAdministration.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!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, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Codice Fiscale Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
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		Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Start and end time of administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end	ΣC	0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer	Σ	1..1	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)	Persona che somministra il farmaco
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		1..1	CodeableConcept	Sito di somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	Via di somministrazione 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		1..1	SimpleQuantity	Dose
rate[x]		0..1		Frequenza di assunzione
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
MedicationAdministration.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

• Medication - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/Medication-it-dossierPharma)
• Patient - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/patient-it-dossierPharma)

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

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference		0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	What was administered
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system		1..1	uri	Identity of the terminology system
code		1..1	code	Symbol in syntax defined by the system
coding:ATC		0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC		0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza		0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni		0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text		0..1	string	Descrizione testuale del farmaco
subject		1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
type		0..1	uri	Type the reference refers to (e.g. "Patient") Fixed Value: Patient
identifier
value		0..1	string	Codice Fiscale
Slices for effective[x]		1..1	dateTime, Period	Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effective[x]:effectivePeriod		0..1	Period	Start and end time of administration
start		1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end		0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer		1..1	BackboneElement	Who performed the medication administration and what they did
actor		1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Persona che somministra il farmaco
dosage		1..1	BackboneElement	Details of how medication was taken
site		1..1	CodeableConcept	Sito di somministrazione
route		1..1	CodeableConcept	Via di somministrazione
dose		1..1	SimpleQuantity	Dose
rate[x]		0..1	Ratio, SimpleQuantity	Frequenza di assunzione
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
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, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
system	Σ	1..1	uri	Identity of the terminology system
code	Σ	1..1	code	Symbol in syntax defined by the system
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
Slices for effective[x]	Σ	1..1		Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Start and end time of administration
start	ΣC	1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end	ΣC	0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer	Σ	1..1	BackboneElement	Who performed the medication administration and what they did
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Persona che somministra il farmaco
dosage	C	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
site		1..1	CodeableConcept	Sito di somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	Via di somministrazione 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.
dose		1..1	SimpleQuantity	Dose
rate[x]		0..1		Frequenza di assunzione
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
MedicationAdministration.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Descrive l'evento in cui il paziente consuma o riceve la somministrazione del farmaco
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!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, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	Σ	0..1	Reference(Medication - Dossier Farmaceutico)	What was administered
medication[x]:medicationCodeableConcept	Σ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:All Slices				Content/Rules for all slices
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:ATC	Σ	0..1	Coding	Code defined by a terminology system Binding: WHO ATC (required)
coding:AIC	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA AIC (required)
coding:gruppoEquivalenza	Σ	0..1	Coding	Code defined by a terminology system Binding: AIFA Gruppo di Equivalenza (required)
coding:eccezioni	Σ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://terminology.hl7.org/CodeSystem/v3-NullFlavor
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: UNK
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Descrizione testuale del farmaco
subject	Σ	1..1	Reference(Patient - Dossier Farmaceutico)	Who received medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model). Fixed Value: Patient
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	0..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	0..1	string	Codice Fiscale Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
assigner	Σ	0..1	Reference(Organization)	Organization that issued id (may be just text)
display	Σ	0..1	string	Text alternative for the resource
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		Inzio e Fine della somministrazione Slice: Unordered, Open by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectivePeriod	Σ	0..1	Period	Start and end time of administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Inizio della somministrazione/infusione del farmaco
end	ΣC	0..1	dateTime	Fine della somministrazione/infusione del farmaco
performer	Σ	1..1	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)	Persona che somministra il farmaco
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	1..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		1..1	CodeableConcept	Sito di somministrazione Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	Via di somministrazione 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		1..1	SimpleQuantity	Dose
rate[x]		0..1		Frequenza di assunzione
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC	required	VsAtc https://www.hl7.it/fhir/terminology/ValueSet/who-atc
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:AIC	required	VsAifaAIC http://hl7.it/fhir/dossier-pharma/ValueSet/aifa-aic from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gruppoEquivalenza	required	VsGruppoEquivalenza https://www.hl7.it/fhir/terminology/ValueSet/aifa-ge
MedicationAdministration.subject.type	extensible	Fixed Value: Patient http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.subject.identifier.use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.subject.identifier.type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Summary

Mandatory: 5 elements(4 nested mandatory elements)
Fixed: 1 element

Structures

This structure refers to these other structures:

• Medication - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/Medication-it-dossierPharma)
• Patient - Dossier Farmaceutico (http://hl7.it/fhir/dossier-pharma/StructureDefinition/patient-it-dossierPharma)

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