Canadian Core
0.1.0 - CI Build

Canadian Core, published by Canadian FHIR Implementor Working Group. This is not an authorized publication; it is the continuous build for version 0.1.0). This version is based on the current content of https://github.com/scratch-fhir-profiles/CA-Core/ and changes regularly. See the Directory of published versions

Resource Profile: MedicationAdministration Profile

Defining URL:http://hl7.org/fhir/ca/core/StructureDefinition/profile-medicationadministration
Version:0.1.0
Name:MedicationAdministrationProfile
Title:MedicationAdministration Profile
Status:Draft as of 2020-03-05
Definition:

Proposed constraints and extensions on the MedicationAdministration resource. Generated as a first step toward creating a set of Canadian Core FHIR profiles.

Publisher:Canadian FHIR Implementor Working Group
Source Resource:XML / JSON / Turtle

The official URL for this profile is:

http://hl7.org/fhir/ca/core/StructureDefinition/profile-medicationadministration

Formal Views of Profile Content

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

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationMedicationAdministration Profile
... partOf 0..*Reference(MedicationAdministration Profile | Procedure Profile)Part of referenced event
... status S1..1codein-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... medication[x] S1..1What was administered
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication Profile)
... context S0..1Reference(Encounter Profile | EpisodeOfCare)Encounter or Episode of Care administered as part of
... effective[x] S1..1dateTime, PeriodStart and end time of administration
... performer S0..*BackboneElementWho performed the medication administration and what they did
.... actor S1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile)Who performed the medication administration
... reasonReference 0..*Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest Profile)Request administration performed against
... device 0..*Reference(Device Profile)Device used to administer
... dosage S0..1BackboneElementDetails of how medication was taken
.... text S0..1stringFree text dosage instructions e.g. SIG

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationMedicationAdministration Profile
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... instantiates Σ0..*uriInstantiates protocol or definition
... partOf Σ0..*Reference(MedicationAdministration Profile | Procedure Profile)Part of referenced event
... status ?!SΣ1..1codein-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..*CodeableConceptReason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1CodeableConceptType of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... medication[x] SΣ1..1What was administered
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication Profile)
... subject SΣ1..1Reference(Patient Profile)Who received medication
... context S0..1Reference(Encounter Profile | EpisodeOfCare)Encounter or Episode of Care administered as part of
... supportingInformation 0..*Reference(Resource)Additional information to support administration
... effective[x] SΣ1..1Start and end time of administration
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer SΣ0..*BackboneElementWho performed the medication administration and what they did
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptType of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor SΣ1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile)Who performed the medication administration
... reasonCode 0..*CodeableConceptReason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..*Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest Profile)Request administration performed against
... device 0..*Reference(Device Profile)Device used to administer
... note 0..*AnnotationInformation about the administration
... dosage SI0..1BackboneElementDetails of how medication was taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text S0..1stringFree text dosage instructions e.g. SIG
.... site 0..1CodeableConceptBody site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1CodeableConceptPath 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..1CodeableConceptHow drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... dose 0..1SimpleQuantityAmount of medication per dose
.... rate[x] 0..1Dose quantity per unit of time
..... rateRatioRatio
..... rateQuantityQuantity(SimpleQuantity)
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationMedicationAdministration Profile
... status ?!Σ1..1codein-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.

... medication[x] Σ1..1What was administered
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication Profile)
... subject Σ1..1Reference(Patient Profile)Who received medication
... effective[x] Σ1..1Start and end time of administration
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer Σ0..*BackboneElementWho performed the medication administration and what they did
.... actor Σ1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile)Who performed the medication administration
... dosage I0..1BackboneElementDetails of how medication was taken
.... text 0..1stringFree text dosage instructions e.g. SIG

doco Documentation for this format

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationMedicationAdministration Profile
... partOf 0..*Reference(MedicationAdministration Profile | Procedure Profile)Part of referenced event
... status S1..1codein-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... medication[x] S1..1What was administered
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication Profile)
... context S0..1Reference(Encounter Profile | EpisodeOfCare)Encounter or Episode of Care administered as part of
... effective[x] S1..1dateTime, PeriodStart and end time of administration
... performer S0..*BackboneElementWho performed the medication administration and what they did
.... actor S1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile)Who performed the medication administration
... reasonReference 0..*Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest Profile)Request administration performed against
... device 0..*Reference(Device Profile)Device used to administer
... dosage S0..1BackboneElementDetails of how medication was taken
.... text S0..1stringFree text dosage instructions e.g. SIG

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationMedicationAdministration Profile
... id Σ0..1stringLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages: A human language.

... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension 0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... instantiates Σ0..*uriInstantiates protocol or definition
... partOf Σ0..*Reference(MedicationAdministration Profile | Procedure Profile)Part of referenced event
... status ?!SΣ1..1codein-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..*CodeableConceptReason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1CodeableConceptType of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... medication[x] SΣ1..1What was administered
Binding: https://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct (preferred): TBD. This is a placeholder for a comprehensive valueset, consisting of all Manufactured Product (MP), Non-proprietary Therapeutic Product (NTP) and Therapeutic Moiety (TM) codes, which would be created and maintained by Canada Health Infoway. Medicinal products for prescribing and dispensing in Canada. The content of this subset only contains commonly used medicinal products that are available for prescribing and dispensing in Canada. This content will expand to include all human medicinal products over time.

.... medicationCodeableConceptCodeableConcept
.... medicationReferenceReference(Medication Profile)
... subject SΣ1..1Reference(Patient Profile)Who received medication
... context S0..1Reference(Encounter Profile | EpisodeOfCare)Encounter or Episode of Care administered as part of
... supportingInformation 0..*Reference(Resource)Additional information to support administration
... effective[x] SΣ1..1Start and end time of administration
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
... performer SΣ0..*BackboneElementWho performed the medication administration and what they did
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptType of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor SΣ1..1Reference(Practitioner Profile (General) | PractitionerRole Profile (General) | Patient Profile | RelatedPerson | Device Profile)Who performed the medication administration
... reasonCode 0..*CodeableConceptReason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..*Reference(Condition Profile | Observation Profile (General Use) | DiagnosticReport Profile for Results Reporting)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest Profile)Request administration performed against
... device 0..*Reference(Device Profile)Device used to administer
... note 0..*AnnotationInformation about the administration
... dosage SI0..1BackboneElementDetails of how medication was taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text S0..1stringFree text dosage instructions e.g. SIG
.... site 0..1CodeableConceptBody site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1CodeableConceptPath 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..1CodeableConceptHow drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... dose 0..1SimpleQuantityAmount of medication per dose
.... rate[x] 0..1Dose quantity per unit of time
..... rateRatioRatio
..... rateQuantityQuantity(SimpleQuantity)
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

PathConformanceValueSet
MedicationAdministration.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
MedicationAdministration.medication[x]preferredhttps://fhir.infoway-inforoute.ca/ValueSet/prescriptionmedicinalproduct
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.routeexampleSNOMEDCTRouteCodes
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes

Constraints

IdPathDetailsRequirements
dom-2MedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3MedicationAdministrationIf 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-4MedicationAdministrationIf 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-5MedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6MedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1MedicationAdministration.metaAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.implicitRulesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.languageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.identifierAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.instantiatesAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.partOfAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.statusAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.statusReasonAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.categoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.medication[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.subjectAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.contextAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.supportingInformationAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.effective[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.performerAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.performer.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.performer.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.performer.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.performer.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.performer.functionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.performer.actorAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.reasonCodeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.reasonReferenceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.requestAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.deviceAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.noteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosageAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
mad-1MedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
ele-1MedicationAdministration.dosage.extensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.dosage.extensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.dosage.modifierExtensionAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1MedicationAdministration.dosage.modifierExtensionMust have either extensions or value[x], not both
: extension.exists() != value.exists()
ele-1MedicationAdministration.dosage.textAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosage.siteAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosage.routeAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosage.methodAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosage.doseAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.dosage.rate[x]All FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ele-1MedicationAdministration.eventHistoryAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())