STU 3 Candidate

This page is part of the FHIR Specification (v1.4.0: STU 3 Ballot 3). The current version which supercedes this version is 5.0.0. For a full list of available versions, see the Directory of published versions

U.S. Data Access Framework (DAF) Medication Administration Profile vs QICore-MedicationAdministration

Messages

A series of messages from the comparison algorithm. Errors indicate that solutions cannot be interoperable across both implementation guides (or that there are structural flaws in the definition of at least one).

PathMessage
Errors Detected
(None)
Notes about differences (e.g. definitions)
MedicationAdministrationElements differ in definition for definition:
"Profile of MedicationAdministration for clinical quality rules and measures."
"Describes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner."
MedicationAdministration.medication[x]Elements differ in definition for binding.description:
"Prescribable medications"
"The set of RxNorm codes to represent medications"
MedicationAdministration.dosage.site[x]Example/preferred bindings differ at MedicationAdministration.dosage.site[x] using binding from U.S. Data Access Framework (DAF) Medication Administration Profile
MedicationAdministration.dosage.site[x]Elements differ in definition for binding.description:
"This identifies the body site at which the substance was administered"
"A coded concept describing the site location the medicine enters into or onto the body."
MedicationAdministration.dosage.routeExample/preferred bindings differ at MedicationAdministration.dosage.route using binding from U.S. Data Access Framework (DAF) Medication Administration Profile
MedicationAdministration.dosage.routeElements differ in definition for binding.description:
"This identifies the route of substance administration."
"A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."

Intersection

The intersection of the 2 constraint statements. This is what resource authors (either client or server) would need to conform to produce content valid against both implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration ∑ I0..*MedicationAdministrationAdministration of medication to a patient
mad-3: Reason given is only permitted if wasNotGiven is false
mad-2: Reason not given is only permitted if wasNotGiven is true
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... 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 S ∑0..*IdentifierExternal identifier
... status ?! S∑1..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationAdministrationStatus (required)
... medication[x] S ∑1..1QICore-Medication, Reference(DAF-Medication)What was administered
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑1..1Reference(DAF-Patient)Who received medication
... encounter S ∑0..1Reference(DAF-Encounter)Encounter administered as part of
... effectiveTime[x] S ∑1..1dateTime, PeriodStart and end time of administration
... practitioner S ∑0..1Reference(DAF-Pract)Who administered substance
... prescription S ∑0..1Reference(DAF-MedicationOrder)Order administration performed against
... wasNotGiven ?! S∑0..1booleanTrue if medication not administered
... reasonNotGiven S ∑0..1CodeableConceptReason administration not performed
Binding: Reason Medication Not Given Codes (example)
... reasonGiven S ∑0..*CodeableConceptReason administration performed
Binding: Reason Medication Given Codes (example)
... device S ∑0..*Reference(QICore-Device)Device used to administer
... note ∑0..*AnnotationInformation about the administration
... dosage S ∑I0..1BackboneElementDetails of how medication was taken
mad-1: SHALL have at least one of dosage.quantity and dosage.rate[x]
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions e.g. SIG
.... siteCodeableConcept S ∑0..1BodySiteBody site administered to
Binding: Vaccine Administered Body Site (preferred)
.... route S ∑0..1CodeableConceptPath of substance into body
Binding: Medication Route FDA Value Set (preferred)
.... method ∑0..1CodeableConceptHow drug was administered
Binding: (unbound) (example)
.... quantity S ∑0..1SimpleQuantityAmount administered in one dose
.... rate[x] S ∑0..1Ratio, RangeDose quantity per unit of time

doco Documentation for this format

Union

The union of the 2 constraint statements. This is what resource authors (either client or server) would need to be able to handle to accept content valid against either implementation guides.

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration ∑ I0..*MedicationAdministrationAdministration of medication to a patient
mad-3: Reason given is only permitted if wasNotGiven is false
mad-2: Reason not given is only permitted if wasNotGiven is true
... meta ∑0..1MetaMetadata about the resource
... implicitRules ?! ∑0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: IETF BCP-47 (required)
... 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 S ∑0..*IdentifierExternal identifier
... status ?! S∑1..1codein-progress | on-hold | completed | entered-in-error | stopped
Binding: MedicationAdministrationStatus (required)
... medication[x] S ∑1..1CodeableConcept, Reference(#10)What was administered
Binding: Medication Clinical Drug (RxNorm) (extensible)
... patient S ∑1..1Reference(#1)Who received medication
... encounter S ∑0..1Reference(#4)Encounter administered as part of
... effectiveTime[x] S ∑1..1dateTime, PeriodStart and end time of administration
... practitioner S ∑0..1Reference(#3 | QICore-Patient | QICore-RelatedPerson)Who administered substance
... prescription S ∑0..1Reference(#36)Order administration performed against
... wasNotGiven ?! S∑0..1booleanTrue if medication not administered
... reasonNotGiven S ∑0..*CodeableConceptReason administration not performed
Binding: Reason Medication Not Given Codes (example)
... reasonGiven S ∑0..*CodeableConceptReason administration performed
Binding: Reason Medication Given Codes (example)
... device S ∑0..*Reference(Device)Device used to administer
... note ∑0..*AnnotationInformation about the administration
... dosage S ∑I0..1BackboneElementDetails of how medication was taken
mad-1: SHALL have at least one of dosage.quantity and dosage.rate[x]
.... extension 0..*ExtensionAdditional Content defined by implementations
.... modifierExtension ?! ∑0..*ExtensionExtensions that cannot be ignored
.... text ∑0..1stringFree text dosage instructions e.g. SIG
.... siteCodeableConcept S ∑0..1CodeableConcept, Reference(BodySite)Body site administered to
Binding: ???? (preferred)
.... route S ∑0..1CodeableConceptPath of substance into body
Binding: ???? (preferred)
.... method ∑0..1CodeableConceptHow drug was administered
Binding: (unbound) (example)
.... quantity S ∑0..1SimpleQuantityAmount administered in one dose
.... rate[x] S ∑0..1Ratio, RangeDose quantity per unit of time

doco Documentation for this format