HL7 PT FHIR Implementation Guide: Example IG Release 1 | STU1, published by HL7 Portugal. This guide is not an authorized publication; it is the continuous build for version 0.0.1 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/hl7-pt/core/ and changes regularly. See the Directory of published versions

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Resource Profile: PT_MedicationAdministration

A generic MedicationAdministration resource for Portugal

Usage:

• Refer to this Resource Profile: PT_MedicationAdministration

Formal Views of Profile Content

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

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

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(PT_MedicationAdministration | PT_Procedure)	Part of referenced event
status		1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
statusReason		0..*	CodeableConcept	Reason administration not performed
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
medication[x]		1..1		What was administered
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject		1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
effective[x]		1..1	dateTime, Period	Start and end time of administration
performer
actor		1..1	Reference(PT_Practitioner | PT_Patient | PT_RelatedPerson | Device)	Who performed the medication administration
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage
site		0..1	CodeableConcept	Body site administered to
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http:snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
route		0..1	CodeableConcept	Path of substance into body
coding
system		0..1	uri	Identity of the terminology system Fixed Value: https:www.edqm.eu/
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
method		0..1	CodeableConcept	How drug was administered
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
dose		0..1	SimpleQuantity	Amount of medication per dose
value		0..1	decimal	Numerical value (with implicit precision)
unit		0..1	string	Unit representation
system		0..1	uri	System that defines coded unit form Fixed Value: https:ucum.org/
code		0..1	code	Coded form of the unit
rate[x]		0..1	Ratio, SimpleQuantity	Dose quantity per unit of time
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
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
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf	Σ	0..*	Reference(PT_MedicationAdministration | PT_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.
medication[x]	Σ	1..1		What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject	Σ	1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
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(PT_MedicationAdministration | PT_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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x]	Σ	1..1		What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject	Σ	1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(PT_Practitioner | PT_Patient | PT_RelatedPerson | Device)	Who performed the medication administration
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Fixed Value: http:snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Fixed Value: https:www.edqm.eu/
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
dose		0..1	SimpleQuantity	Amount of medication 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	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: https:ucum.org/
code	Σ	0..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	Conformance	ValueSet	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.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

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

This structure is derived from MedicationAdministration

Summary

Fixed: 3 elements

Structures

This structure refers to these other structures:

• PT_MedicationAdministration (http://hl7.pt/fhir/core/StructureDefinition/PTMedicationAdministration)
• PT_Procedure (http://hl7.pt/fhir/core/StructureDefinition/PTProcedure)
• PT_Medication (http://hl7.pt/fhir/core/StructureDefinition/c56e2fb3-2322-4e99-931c-50d99668edfa)
• PT_Patient (http://hl7.pt/fhir/core/StructureDefinition/176c7c2b-865c-4942-9bd6-cfaa04678d10)
• PT_Encounter (http://hl7.pt/fhir/core/StructureDefinition/PTEncounter)
• PT_Practitioner (http://hl7.pt/fhir/core/StructureDefinition/ac7bcb60-c472-44c2-8a98-d412e8645c6d)
• PT_RelatedPerson (http://hl7.pt/fhir/core/StructureDefinition/52d49cef-b06f-4aa7-859d-26a002df32c1)
• PT_Condition (http://hl7.pt/fhir/core/StructureDefinition/PTCondition)
• PT_MedicationRequest (http://hl7.pt/fhir/core/StructureDefinition/17e19b6f-8e82-4c55-948e-85e02764fc9b)

Extensions

This structure refers to these extensions:

• http://hl7.pt/fhir/core/StructureDefinition/LocationAct
• http://hl7.pt/fhir/core/StructureDefinition/StatusReason
• http://hl7.pt/fhir/core/StructureDefinition/Recorded
• http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
• http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason

Differential View

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
identifier		0..*	Identifier	External identifier
partOf		0..*	Reference(PT_MedicationAdministration | PT_Procedure)	Part of referenced event
status		1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
statusReason		0..*	CodeableConcept	Reason administration not performed
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
medication[x]		1..1		What was administered
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject		1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
effective[x]		1..1	dateTime, Period	Start and end time of administration
performer
actor		1..1	Reference(PT_Practitioner | PT_Patient | PT_RelatedPerson | Device)	Who performed the medication administration
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage
site		0..1	CodeableConcept	Body site administered to
coding
system		0..1	uri	Identity of the terminology system Fixed Value: http:snomed.info/sct
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
route		0..1	CodeableConcept	Path of substance into body
coding
system		0..1	uri	Identity of the terminology system Fixed Value: https:www.edqm.eu/
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
method		0..1	CodeableConcept	How drug was administered
coding
system		0..1	uri	Identity of the terminology system
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
dose		0..1	SimpleQuantity	Amount of medication per dose
value		0..1	decimal	Numerical value (with implicit precision)
unit		0..1	string	Unit representation
system		0..1	uri	System that defines coded unit form Fixed Value: https:ucum.org/
code		0..1	code	Coded form of the unit
rate[x]		0..1	Ratio, SimpleQuantity	Dose quantity per unit of time
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
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
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
partOf	Σ	0..*	Reference(PT_MedicationAdministration | PT_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.
medication[x]	Σ	1..1		What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject	Σ	1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

Constraints

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

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: CommonLanguages (preferred): A human language. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
Location		0..1	Reference(PT_Location)	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/LocationAct
statusReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/StatusReason
recorded		0..*	dateTime	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/Recorded
isSubPotent		0..*	boolean	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
subPotentReason		0..*	CodeableConcept	Extension URL: http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason
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(PT_MedicationAdministration | PT_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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
medication[x]	Σ	1..1		What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(PT_Medication)
subject	Σ	1..1	Reference(PT_Patient)	Who received medication
context		0..1	Reference(PT_Encounter)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(PT_Practitioner | PT_Patient | PT_RelatedPerson | Device)	Who performed the medication administration
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(PT_Condition)	Condition or observation that supports why the medication was administered
request		0..1	Reference(PT_MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Fixed Value: http:snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
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.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system Fixed Value: https:www.edqm.eu/
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is 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
coding	Σ	0..*	Coding	Code defined by a terminology system
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	0..1	uri	Identity of the terminology system
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
text	Σ	0..1	string	Plain text representation of the concept
dose		0..1	SimpleQuantity	Amount of medication 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	Σ	0..1	decimal	Numerical value (with implicit precision)
unit	Σ	0..1	string	Unit representation
system	ΣC	0..1	uri	System that defines coded unit form Fixed Value: https:ucum.org/
code	Σ	0..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	Conformance	ValueSet	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.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

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

This structure is derived from MedicationAdministration

Summary

Fixed: 3 elements

Structures

This structure refers to these other structures:

• PT_MedicationAdministration (http://hl7.pt/fhir/core/StructureDefinition/PTMedicationAdministration)
• PT_Procedure (http://hl7.pt/fhir/core/StructureDefinition/PTProcedure)
• PT_Medication (http://hl7.pt/fhir/core/StructureDefinition/c56e2fb3-2322-4e99-931c-50d99668edfa)
• PT_Patient (http://hl7.pt/fhir/core/StructureDefinition/176c7c2b-865c-4942-9bd6-cfaa04678d10)
• PT_Encounter (http://hl7.pt/fhir/core/StructureDefinition/PTEncounter)
• PT_Practitioner (http://hl7.pt/fhir/core/StructureDefinition/ac7bcb60-c472-44c2-8a98-d412e8645c6d)
• PT_RelatedPerson (http://hl7.pt/fhir/core/StructureDefinition/52d49cef-b06f-4aa7-859d-26a002df32c1)
• PT_Condition (http://hl7.pt/fhir/core/StructureDefinition/PTCondition)
• PT_MedicationRequest (http://hl7.pt/fhir/core/StructureDefinition/17e19b6f-8e82-4c55-948e-85e02764fc9b)

Extensions

This structure refers to these extensions:

• http://hl7.pt/fhir/core/StructureDefinition/LocationAct
• http://hl7.pt/fhir/core/StructureDefinition/StatusReason
• http://hl7.pt/fhir/core/StructureDefinition/Recorded
• http://hl7.pt/fhir/core/StructureDefinition/IsSubPotent
• http://hl7.pt/fhir/core/StructureDefinition/SubPotentReason

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