This page is part of the Da Vinci Data Exchange for Quality Measures (DEQM) FHIR IG (v2.1.0: STU 3) based on FHIR R4. The current version which supercedes this version is 3.1.0. For a full list of available versions, see the Directory of published versions
The DEQM MedicationAdministration Profile describes the event of a patient consuming or otherwise being administered a medication
The official URL for this profile is:
http://hl7.org/fhir/us/davinci-deqm/StructureDefinition/medicationadministration-deqm
The following data-elements are mandatory (i.e data MUST be present).
Each MedicationAdministration must have:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from QICoreMedicationAdministration
This structure is derived from QICoreMedicationAdministration
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationAdministration | 0..* | QICoreMedicationAdministration | Administration of medication to a patient | |
medication[x] | S | 1..1 | CodeableConcept | What was administered |
effective[x] | S | 1..1 | Period | Start and end time of administration |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationAdministration | I | 0..* | QICoreMedicationAdministration | Administration of medication to a patient |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | I | 0..* | Identifier | External identifier |
instantiates | ΣI | 0..* | uri | Instantiates protocol or definition |
partOf | ΣI | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
status | ?!SΣI | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required) |
statusReason | SI | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example) |
category | I | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred) |
medication[x] | SΣI | 1..1 | CodeableConcept | What was administered Binding: US Core Medication Codes (RxNorm) (preferred) |
subject | SΣI | 1..1 | Reference(QICorePatient) | Who received medication |
context | SI | 0..1 | Reference(QICoreEncounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of |
supportingInformation | I | 0..* | Reference(Resource) | Additional information to support administration |
effective[x] | SΣI | 1..1 | Period | Start and end time of administration |
performer | ΣI | 0..* | BackboneElement | Who performed the medication administration and what they did |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | I | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example) |
actor | ΣI | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreRelatedPerson | QICoreDevice) | Who performed the medication administration |
reasonCode | SI | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example) |
reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered |
request | I | 0..1 | Reference(QICoreMedicationRequest) | Request administration performed against |
device | I | 0..* | Reference(QICoreDevice) | Device used to administer |
note | I | 0..* | Annotation | Information about the administration |
dosage | I | 0..1 | BackboneElement | Details of how medication was taken |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | I | 0..1 | string | Free text dosage instructions e.g. SIG |
site | I | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) |
route | SI | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example) |
method | I | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example) |
dose | SI | 0..1 | SimpleQuantity | Amount of medication per dose |
rate[x] | I | 0..1 | Dose quantity per unit of time | |
rateRatio | Ratio | |||
rateQuantity | Quantity(SimpleQuantity) | |||
eventHistory | I | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |
Documentation for this format |
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationAdministration | I | 0..* | QICoreMedicationAdministration | Administration of medication to a patient |
status | ?!ΣI | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required) |
statusReason | I | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example) |
medication[x] | ΣI | 1..1 | CodeableConcept | What was administered Binding: US Core Medication Codes (RxNorm) (preferred) |
subject | ΣI | 1..1 | Reference(QICorePatient) | Who received medication |
context | I | 0..1 | Reference(QICoreEncounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of |
effective[x] | ΣI | 1..1 | Period | Start and end time of administration |
reasonCode | I | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example) |
dosage | I | 0..1 | BackboneElement | Details of how medication was taken |
route | I | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example) |
dose | I | 0..1 | SimpleQuantity | Amount of medication per dose |
Documentation for this format |
This structure is derived from QICoreMedicationAdministration
Differential View
This structure is derived from QICoreMedicationAdministration
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationAdministration | 0..* | QICoreMedicationAdministration | Administration of medication to a patient | |
medication[x] | S | 1..1 | CodeableConcept | What was administered |
effective[x] | S | 1..1 | Period | Start and end time of administration |
Documentation for this format |
Snapshot View
Name | Flags | Card. | Type | Description & Constraints |
---|---|---|---|---|
MedicationAdministration | I | 0..* | QICoreMedicationAdministration | Administration of medication to a patient |
id | Σ | 0..1 | string | Logical id of this artifact |
meta | ΣI | 0..1 | Meta | Metadata about the resource |
implicitRules | ?!ΣI | 0..1 | uri | A set of rules under which this content was created |
language | I | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages |
text | I | 0..1 | Narrative | Text summary of the resource, for human interpretation |
contained | 0..* | Resource | Contained, inline Resources | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!I | 0..* | Extension | Extensions that cannot be ignored |
identifier | I | 0..* | Identifier | External identifier |
instantiates | ΣI | 0..* | uri | Instantiates protocol or definition |
partOf | ΣI | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
status | ?!SΣI | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required) |
statusReason | SI | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example) |
category | I | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred) |
medication[x] | SΣI | 1..1 | CodeableConcept | What was administered Binding: US Core Medication Codes (RxNorm) (preferred) |
subject | SΣI | 1..1 | Reference(QICorePatient) | Who received medication |
context | SI | 0..1 | Reference(QICoreEncounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of |
supportingInformation | I | 0..* | Reference(Resource) | Additional information to support administration |
effective[x] | SΣI | 1..1 | Period | Start and end time of administration |
performer | ΣI | 0..* | BackboneElement | Who performed the medication administration and what they did |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
function | I | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example) |
actor | ΣI | 1..1 | Reference(QICorePractitioner | QICorePatient | QICoreRelatedPerson | QICoreDevice) | Who performed the medication administration |
reasonCode | SI | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example) |
reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered |
request | I | 0..1 | Reference(QICoreMedicationRequest) | Request administration performed against |
device | I | 0..* | Reference(QICoreDevice) | Device used to administer |
note | I | 0..* | Annotation | Information about the administration |
dosage | I | 0..1 | BackboneElement | Details of how medication was taken |
id | 0..1 | string | Unique id for inter-element referencing | |
extension | I | 0..* | Extension | Additional content defined by implementations |
modifierExtension | ?!ΣI | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
text | I | 0..1 | string | Free text dosage instructions e.g. SIG |
site | I | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example) |
route | SI | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example) |
method | I | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example) |
dose | SI | 0..1 | SimpleQuantity | Amount of medication per dose |
rate[x] | I | 0..1 | Dose quantity per unit of time | |
rateRatio | Ratio | |||
rateQuantity | Quantity(SimpleQuantity) | |||
eventHistory | I | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle |
Documentation for this format |
Other representations of profile: Schematron
Path | Conformance | ValueSet |
MedicationAdministration.language | preferred | CommonLanguages Max Binding: AllLanguages |
MedicationAdministration.status | required | MedicationAdministration Status Codes |
MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes |
MedicationAdministration.category | preferred | MedicationAdministration Category Codes |
MedicationAdministration.medication[x] | preferred | USCoreMedicationCodes |
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes |
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes |
MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes |
MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes |
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes |