Medicationadministration.profile.xml

Profile for medicationadministration

Raw XML

<Profile xmlns="http://hl7.org/fhir">
  <text>
    <status value="generated"/><div xmlns="http://www.w3.org/1999/xhtml"><pre>
&lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration" title="Describes the event of a patient being given a dose of 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."><b>MedicationAdministration</b></a> xmlns=&quot;http://hl7.org/fhir&quot;&gt; <span style="float: right"><a href="formats.html" title="Documentation for this format"><img alt="doco" src="help.png"/></a></span>
 &lt;!-- from <a href="resources.html">Resource</a>: <a href="extensibility.html">extension</a>, <a href="extensibility.html#modifierExtension">modifierExtension</a>, language, <a href="narrative.html#Narrative">text</a>, and <a href="references.html#contained">contained</a> --&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.identifier" title="External identifier - FHIR will generate its own internal IDs (probably URLs) which do
         not need to be explicitly managed by the resource.  The identifier here is one that would
         be used by another non-FHIR system - for example an automated medication pump would provide
         a record each time it operated; an administration while the patient was off the ward might
         be made with a different system and entered after the event.  Particularly important if
         these records have to be updated (this element modifies the meaning of other elements)"><span style="text-decoration: underline"><b>identifier</b></span></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#Identifier">Identifier</a></span> <span style="color: navy">External identifier</span><span style="color: Gray"> --&gt;</span>&lt;/identifier&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.status" title="Will generally be set to show that the administration has been completed.  For some long
         running administrations such as infusions it is possible for an administration to be started
         but not completed or it may be paused while some other process is under way (this element
         modifies the meaning of other elements)"><span style="text-decoration: underline"><b>status</b></span></a> value=&quot;[<span style="color: darkgreen"><a href="datatypes.html#code">code</a></span>]&quot;/&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: navy"><a href="medication-admin-status.html" style="color: navy">in progress | on hold | completed | entered in error | stopped</a></span><span style="color: Gray"> --&gt;</span>
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.patient" title="The person or animal to whom the medication was given."><b>patient</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="patient.html#Patient">Patient</a>)</span> <span style="color: navy">Who received medication?</span><span style="color: Gray"> --&gt;</span>&lt;/patient&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.practitioner" title="The individual who was responsible for giving the medication to the patient."><b>practitioner</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="practitioner.html#Practitioner">Practitioner</a>)</span> <span style="color: navy">Who administered substance?</span><span style="color: Gray"> --&gt;</span>&lt;/practitioner&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.encounter" title="The visit or admission the or other contact between patient and health care provider the
         medication administration was performed as part of."><b>encounter</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="encounter.html#Encounter">Encounter</a>)</span> <span style="color: navy">Encounter administered as part of</span><span style="color: Gray"> --&gt;</span>&lt;/encounter&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.prescription" title="The original request, instruction or authority to perform the administration."><b>prescription</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="medicationprescription.html#MedicationPrescription">MedicationPrescription</a>)</span> <span style="color: navy">
     Order administration performed against</span><span style="color: Gray"> --&gt;</span>&lt;/prescription&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.wasNotGiven" title="Set this to true if the record is saying that the medication was NOT administered (this
         element modifies the meaning of other elements)"><span style="text-decoration: underline"><b>wasNotGiven</b></span></a> value=&quot;[<span style="color: darkgreen"><a href="datatypes.html#boolean">boolean</a></span>]&quot;/&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: navy">True if medication not administered</span><span style="color: Gray"> --&gt;</span>
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.reasonNotGiven" title="A code indicating why the administration was not performed."><b>reasonNotGiven</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown" title="Inv-2: Reason not given is only permitted if wasNotGiven is true"><b><img alt="??" src="lock.png"/> 0..*</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-reason-medication-not-given-codes.html" style="color: navy">Reason administration not performed</a></span><span style="color: Gray"> --&gt;</span>&lt;/reasonNotGiven&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.whenGiven" title="An interval of time during which the administration took place.  For many administrations,
         such as swallowing a tablet the lower and upper values of the interval will be the same."><b>whenGiven</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>1..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Period">Period</a></span> <span style="color: navy">Start and end time of administration</span><span style="color: Gray"> --&gt;</span>&lt;/whenGiven&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.medication" title="Identifies the medication that was administered. This is either a link to a resource representing
         the details of the medication or a simple attribute carrying a code that identifies the
         medication from a known list of medications."><b>medication</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="medication.html#Medication">Medication</a>)</span> <span style="color: navy">What was administered?</span><span style="color: Gray"> --&gt;</span>&lt;/medication&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.device" title="The device used in administering the medication to the patient.  E.g. a particular infusion
         pump."><b>device</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..*</b></span> <span style="color: darkgreen"><a href="references.html#Resource">Resource</a>(<a href="device.html#Device">Device</a>)</span> <span style="color: navy">Device used to administer</span><span style="color: Gray"> --&gt;</span>&lt;/device&gt;
 &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage" title="Provides details of how much of the medication was administered."><b>dosage</b></a>&gt;  <span style="color: Gray">&lt;!-- <span style="color: brown"><b>0..*</b></span> Medicine administration instructions to the patient/carer --&gt;</span>
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.timing_x_" title="The timing schedule for giving the medication to the patient.  This may be a single time
         point (using dateTime) or it may be a start and end dateTime (Period)."><b>timing[x]</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#dateTime">dateTime</a>|<a href="datatypes.html#Period">Period</a></span> <span style="color: navy">When dose(s) were given</span><span style="color: Gray"> --&gt;</span>&lt;/timing[x]&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.asNeeded_x_" title="If set to true or if specified as a CodeableConcept, indicates that the medication is
         only taken when needed within the specified schedule rather than at every scheduled dose.
          If a CodeableConcept is present, it indicates the pre-condition for taking the Medication."><b>asNeeded[x]</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#boolean">boolean</a>|<a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy">Take &quot;as needed&quot; f(or x)</span><span style="color: Gray"> --&gt;</span>&lt;/asNeeded[x]&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.site" title="A coded specification of the anatomic site where the medication first entered the body.
          E.g. &quot;left arm&quot;."><b>site</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-approach-site-codes.html" style="color: navy">Body site administered to</a></span><span style="color: Gray"> --&gt;</span>&lt;/site&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.route" title="A code specifying the route or physiological path of administration of a therapeutic agent
         into or onto the patient.   E.g. topical, intravenous, etc."><b>route</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-route-codes.html" style="color: navy">Path of substance into body</a></span><span style="color: Gray"> --&gt;</span>&lt;/route&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.method" title="A coded value indicating the method by which the medication was introduced into or onto
         the body. Most commonly used for injections.  Examples:  Slow Push; Deep IV.  Terminologies
         used often pre-coordinate this term with the route and or form of administration."><b>method</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#CodeableConcept">CodeableConcept</a></span> <span style="color: navy"><a href="valueset-administration-method-codes.html" style="color: navy">How drug was administered</a></span><span style="color: Gray"> --&gt;</span>&lt;/method&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.quantity" title="The amount of the medication given at one administration event.   Use this value when
         the administration is essentially an instantaneous event such as a swallowing a tablet
         or giving an injection."><b>quantity</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Quantity">Quantity</a></span> <span style="color: navy">Amount administered in one dose</span><span style="color: Gray"> --&gt;</span>&lt;/quantity&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.rate" title="Identifies the speed with which the medication was introduced into the patient. Typically
         the rate for an infusion e.g. 200ml in 2 hours.  May also expressed as a rate per unit
         of time such as 100ml per hour - the duration is then not specified, or is specified in
         the quantity."><b>rate</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Ratio">Ratio</a></span> <span style="color: navy">Dose quantity per unit of time</span><span style="color: Gray"> --&gt;</span>&lt;/rate&gt;
  &lt;<a class="dict" href="medicationadministration-definitions.html#MedicationAdministration.dosage.maxDosePerPeriod" title="The maximum total quantity of a therapeutic substance that was administered to the patient
         over the specified period of time. E.g. 1000mg in 24 hours."><b>maxDosePerPeriod</b></a>&gt;<span style="color: Gray">&lt;!--</span> <span style="color: brown"><b>0..1</b></span> <span style="color: darkgreen"><a href="datatypes.html#Ratio">Ratio</a></span> <span style="color: navy">Total dose that was consumed per unit of time</span><span style="color: Gray"> --&gt;</span>&lt;/maxDosePerPeriod&gt;
 &lt;/dosage&gt;
&lt;/MedicationAdministration&gt;
</pre></div>
  </text>
  <name value="medicationadministration"/>
  <publisher value="FHIR Project"/>
  <description value="Basic Profile. Describes the event of a patient being given a dose of 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."/>
  <status value="draft"/>
  <date value="2014-09-30"/>
  <requirements value="Scope and Usage This resource covers the administration of all medications with the exception
   of vaccines. It will principally be used within inpatient settings to record the capture
   of medication administrations including self-administrations of oral medications, injections,
   intra-venous adjustments, etc. It can also be used in out-patient settings to record allergy
   shots and other non-immunization administrations. In some cases it might be used for home-health
   reporting, such as recording self-administered or even device-administered insulin."/>
  <mapping>
    <identity value="rim"/>
    <uri value="http://hl7.org/v3"/>
    <name value="RIM"/>
  </mapping>
  <mapping>
    <identity value="v2"/>
    <uri value="http://hl7.org/v2"/>
    <name value="HL7 v2"/>
  </mapping>
  <structure>
    <type value="MedicationAdministration"/>
    <publish value="true"/>
    <element>
      <path value="MedicationAdministration"/>
      <definition>
        <short value="Administration of medication to a patient"/>
        <formal value="Describes the event of a patient being given a dose of 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."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="Resource"/>
        </type>
        <constraint>
          <key value="2"/>
          <name value="Not given reason"/>
          <severity value="error"/>
          <human value="Reason not given is only permitted if wasNotGiven is true"/>
          <xpath value="not(exists(f:reasonNotGiven)) or f:wasNotGiven='true'"/>
        </constraint>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="SubstanceAdministration"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.extension"/>
      <definition>
        <short value="Additional Content defined by implementations"/>
        <formal value="May be used to represent additional information that is not part of the basic definition
         of the resource. In order to make the use of extensions safe and manageable, there is
         a strict governance applied to the definition and use of extensions. Though any implementer
         is allowed to define an extension, there is a set of requirements that SHALL be met as
         part of the definition of the extension."/>
        <comments value="there can be no stigma associated with the use of extensions by any application, project,
         or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
          The use of extensions is what allows the FHIR specification to retain a core simplicity
         for everyone."/>
        <synonym value="extensions"/>
        <synonym value="user content"/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Extension"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.modifierExtension"/>
      <definition>
        <short value="Extensions that cannot be ignored"/>
        <formal value="May be used to represent additional information that is not part of the basic definition
         of the resource, and that modifies the understanding of the element that contains it.
         Usually modifier elements provide negation or qualification. In order to make the use
         of extensions safe and manageable, there is a strict governance applied to the definition
         and use of extensions. Though any implementer is allowed to define an extension, there
         is a set of requirements that SHALL be met as part of the definition of the extension.
         Applications processing a resource are required to check for modifier extensions."/>
        <comments value="there can be no stigma associated with the use of extensions by any application, project,
         or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
          The use of extensions is what allows the FHIR specification to retain a core simplicity
         for everyone."/>
        <synonym value="extensions"/>
        <synonym value="user content"/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Extension"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.text"/>
      <definition>
        <short value="Text summary of the resource, for human interpretation"/>
        <formal value="A human-readable narrative that contains a summary of the resource, and may be used to
         represent the content of the resource to a human. The narrative need not encode all the
         structured data, but is required to contain sufficient detail to make it &quot;clinically
         safe&quot; for a human to just read the narrative. Resource definitions may define what
         content should be represented in the narrative to ensure clinical safety."/>
        <comments value="Contained resources do not have narrative. Resources that are not contained SHOULD have
         a narrative."/>
        <synonym value="narrative"/>
        <synonym value="html"/>
        <synonym value="xhtml"/>
        <synonym value="display"/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="Narrative"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.contained"/>
      <definition>
        <short value="Contained, inline Resources"/>
        <formal value="These resources do not have an independent existence apart from the resource that contains
         them - they cannot be identified independently, and nor can they have their own independent
         transaction scope."/>
        <comments value="This should never be done when the content can be identified properly, as once identification
         is lost, it is extremely difficult (and context dependent) to restore it again."/>
        <synonym value="inline resources"/>
        <synonym value="anonymous resources"/>
        <synonym value="contained resources"/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Resource"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.identifier"/>
      <definition>
        <short value="External identifier"/>
        <formal value="External identifier - FHIR will generate its own internal IDs (probably URLs) which do
         not need to be explicitly managed by the resource.  The identifier here is one that would
         be used by another non-FHIR system - for example an automated medication pump would provide
         a record each time it operated; an administration while the patient was off the ward might
         be made with a different system and entered after the event.  Particularly important if
         these records have to be updated."/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Identifier"/>
        </type>
        <isModifier value="true"/>
        <mapping>
          <identity value="rim"/>
          <map value="id"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-25-Administered Barcode Identifier? (V2 def'n of RXA-25 refers to the 'give' occurrence;
           appears not to discuss 'administer' cardinality which would seem to be 0..*)"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.status"/>
      <definition>
        <short value="in progress | on hold | completed | entered in error | stopped"/>
        <formal value="Will generally be set to show that the administration has been completed.  For some long
         running administrations such as infusions it is possible for an administration to be started
         but not completed or it may be paused while some other process is under way."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="code"/>
        </type>
        <isModifier value="true"/>
        <binding>
          <name value="MedicationAdministrationStatus"/>
          <isExtensible value="false"/>
          <conformance value="required"/>
          <referenceResource>
            <reference value="http://hl7.org/fhir/vs/medication-admin-status"/>
          </referenceResource>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="statusCode"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-20-Completion Status"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.patient"/>
      <definition>
        <short value="Who received medication?"/>
        <formal value="The person or animal to whom the medication was given."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/Patient"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="subject-&gt;Patient"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="PID-3-Patient ID List"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.practitioner"/>
      <definition>
        <short value="Who administered substance?"/>
        <formal value="The individual who was responsible for giving the medication to the patient."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/Practitioner"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="performer-&gt;Role"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10
           is deprecated)"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.encounter"/>
      <definition>
        <short value="Encounter administered as part of"/>
        <formal value="The visit or admission the or other contact between patient and health care provider the
         medication administration was performed as part of."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/Encounter"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="component-&gt;EncounterEvent"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="PV1-19-Visit Number"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.prescription"/>
      <definition>
        <short value="Order administration performed against"/>
        <formal value="The original request, instruction or authority to perform the administration."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/MedicationPrescription"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="InFullfillmentOf-&gt;SubstanceAdministration"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="ORC-3-Filler Order Number / ORC-2-Placer Order Number"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.wasNotGiven"/>
      <definition>
        <short value="True if medication not administered"/>
        <formal value="Set this to true if the record is saying that the medication was NOT administered."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="boolean"/>
        </type>
        <isModifier value="true"/>
        <mapping>
          <identity value="rim"/>
          <map value="actionNegationInd"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-20-Completion Status='NA'"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.reasonNotGiven"/>
      <definition>
        <short value="Reason administration not performed"/>
        <formal value="A code indicating why the administration was not performed."/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="CodeableConcept"/>
        </type>
        <isModifier value="false"/>
        <binding>
          <name value="MedicationAdministrationNegationReason"/>
          <isExtensible value="true"/>
          <conformance value="example"/>
          <referenceResource>
            <reference value="http://hl7.org/fhir/vs/reason-medication-not-given-codes"/>
          </referenceResource>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="Reason-&gt;Observation-&gt;Value"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-9-Administration Notes:RXA-20-Completion Status='NA'"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.whenGiven"/>
      <definition>
        <short value="Start and end time of administration"/>
        <formal value="An interval of time during which the administration took place.  For many administrations,
         such as swallowing a tablet the lower and upper values of the interval will be the same."/>
        <min value="1"/>
        <max value="1"/>
        <type>
          <code value="Period"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="effectiveTime"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.medication"/>
      <definition>
        <short value="What was administered?"/>
        <formal value="Identifies the medication that was administered. This is either a link to a resource representing
         the details of the medication or a simple attribute carrying a code that identifies the
         medication from a known list of medications."/>
        <comments value="Note: do not use Medication.name to describe the administered medication. When the only
         available information is a text description of the medication, Medication.code.text should
         be used."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/Medication"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="Consumeable-&gt;AdministerableMedication"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-5-Administered Code"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.device"/>
      <definition>
        <short value="Device used to administer"/>
        <formal value="The device used in administering the medication to the patient.  E.g. a particular infusion
         pump."/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="ResourceReference"/>
          <profile value="http://hl7.org/fhir/profiles/Device"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="device-&gt;Access  OR device-&gt;AssignedDevice"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="PRT-10-Participation Device"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage"/>
      <definition>
        <short value="Medicine administration instructions to the patient/carer"/>
        <formal value="Provides details of how much of the medication was administered."/>
        <min value="0"/>
        <max value="*"/>
        <constraint>
          <key value="1"/>
          <name value="Dose"/>
          <severity value="error"/>
          <human value="SHALL have at least one of dosage.quantity and dosage.rate"/>
          <xpath value="exists(f:quantity) or exists(f:rate)"/>
        </constraint>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="component-&gt;SubstanceAdministrationEvent"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.extension"/>
      <definition>
        <short value="Additional Content defined by implementations"/>
        <formal value="May be used to represent additional information that is not part of the basic definition
         of the resource. In order to make the use of extensions safe and manageable, there is
         a strict governance applied to the definition and use of extensions. Though any implementer
         is allowed to define an extension, there is a set of requirements that SHALL be met as
         part of the definition of the extension."/>
        <comments value="there can be no stigma associated with the use of extensions by any application, project,
         or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
          The use of extensions is what allows the FHIR specification to retain a core simplicity
         for everyone."/>
        <synonym value="extensions"/>
        <synonym value="user content"/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Extension"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.modifierExtension"/>
      <definition>
        <short value="Extensions that cannot be ignored"/>
        <formal value="May be used to represent additional information that is not part of the basic definition
         of the resource, and that modifies the understanding of the element that contains it.
         Usually modifier elements provide negation or qualification. In order to make the use
         of extensions safe and manageable, there is a strict governance applied to the definition
         and use of extensions. Though any implementer is allowed to define an extension, there
         is a set of requirements that SHALL be met as part of the definition of the extension.
         Applications processing a resource are required to check for modifier extensions."/>
        <comments value="there can be no stigma associated with the use of extensions by any application, project,
         or standard - regardless of the institution or jurisdiction that uses or defines the extensions.
          The use of extensions is what allows the FHIR specification to retain a core simplicity
         for everyone."/>
        <synonym value="extensions"/>
        <synonym value="user content"/>
        <min value="0"/>
        <max value="*"/>
        <type>
          <code value="Extension"/>
        </type>
        <isModifier value="false"/>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.timing[x]"/>
      <definition>
        <short value="When dose(s) were given"/>
        <formal value="The timing schedule for giving the medication to the patient.  This may be a single time
         point (using dateTime) or it may be a start and end dateTime (Period)."/>
        <comments value="This is generally only relevant if the administration record represents a summary of multiple
         administrations."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="dateTime"/>
        </type>
        <type>
          <code value="Period"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="effectiveTime[TS or IVL_TS)"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RAS:TQ1"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.asNeeded[x]"/>
      <definition>
        <short value="Take &quot;as needed&quot; f(or x)"/>
        <formal value="If set to true or if specified as a CodeableConcept, indicates that the medication is
         only taken when needed within the specified schedule rather than at every scheduled dose.
          If a CodeableConcept is present, it indicates the pre-condition for taking the Medication."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="boolean"/>
        </type>
        <type>
          <code value="CodeableConcept"/>
        </type>
        <isModifier value="false"/>
        <binding>
          <name value="MedicationAsNeededReason"/>
          <isExtensible value="true"/>
          <conformance value="preferred"/>
          <description value="A coded concept identifying the pre-condition that should hold prior to consuming a medication
           dose.  For example &quot;pain&quot;, &quot;30 minutes prior to sexual intercourse&quot;,
           &quot;on flare-up&quot;, etc."/>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="boolean: precondition.negationInd (inversed - so negationInd = true means asNeeded=false
            CodeableConcept: precondition.observationEventCriterion[code=&quot;Assertion&quot;].value"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.site"/>
      <definition>
        <short value="Body site administered to"/>
        <formal value="A coded specification of the anatomic site where the medication first entered the body.
          E.g. &quot;left arm&quot;."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="CodeableConcept"/>
        </type>
        <isModifier value="false"/>
        <binding>
          <name value="MedicationAdministrationSite"/>
          <isExtensible value="true"/>
          <conformance value="example"/>
          <referenceResource>
            <reference value="http://hl7.org/fhir/vs/approach-site-codes"/>
          </referenceResource>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="approachSiteCode"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXR-2-Administration Site"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.route"/>
      <definition>
        <short value="Path of substance into body"/>
        <formal value="A code specifying the route or physiological path of administration of a therapeutic agent
         into or onto the patient.   E.g. topical, intravenous, etc."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="CodeableConcept"/>
        </type>
        <isModifier value="false"/>
        <binding>
          <name value="RouteOfAdministration"/>
          <isExtensible value="true"/>
          <conformance value="example"/>
          <referenceResource>
            <reference value="http://hl7.org/fhir/vs/route-codes"/>
          </referenceResource>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="routeCode"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXR-1-Route"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.method"/>
      <definition>
        <short value="How drug was administered"/>
        <formal value="A coded value indicating the method by which the medication was introduced into or onto
         the body. Most commonly used for injections.  Examples:  Slow Push; Deep IV.  Terminologies
         used often pre-coordinate this term with the route and or form of administration."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="CodeableConcept"/>
        </type>
        <isModifier value="false"/>
        <binding>
          <name value="MedicationAdministrationMethod"/>
          <isExtensible value="true"/>
          <conformance value="example"/>
          <referenceResource>
            <reference value="http://hl7.org/fhir/vs/administration-method-codes"/>
          </referenceResource>
        </binding>
        <mapping>
          <identity value="rim"/>
          <map value="methodCode"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXR-4-Administration Method"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.quantity"/>
      <definition>
        <short value="Amount administered in one dose"/>
        <formal value="The amount of the medication given at one administration event.   Use this value when
         the administration is essentially an instantaneous event such as a swallowing a tablet
         or giving an injection."/>
        <comments value="If the administration is not instantaneous (rate is present or timing has a duration),
         this can be specified to convey the total amount administered over period of time of a
         single administration (as indicated by schedule)."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="Quantity"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="doseQuantity"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-6-Administered Amount / RXA-7.1-Administered Units.code / RXA-7.3-Administered Units.name
           of coding system (uri&lt;-&gt;code system mapping required)"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.rate"/>
      <definition>
        <short value="Dose quantity per unit of time"/>
        <formal value="Identifies the speed with which the medication was introduced into the patient. Typically
         the rate for an infusion e.g. 200ml in 2 hours.  May also expressed as a rate per unit
         of time such as 100ml per hour - the duration is then not specified, or is specified in
         the quantity."/>
        <comments value="If the rate changes over time, each change should be captured as a distinct &quot;dosage&quot;
         repetition.  This element should *not* be used to convey an average rate."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="Ratio"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="rateQuantity"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXA-12-Administered Per (Time Unit)"/>
        </mapping>
      </definition>
    </element>
    <element>
      <path value="MedicationAdministration.dosage.maxDosePerPeriod"/>
      <definition>
        <short value="Total dose that was consumed per unit of time"/>
        <formal value="The maximum total quantity of a therapeutic substance that was administered to the patient
         over the specified period of time. E.g. 1000mg in 24 hours."/>
        <min value="0"/>
        <max value="1"/>
        <type>
          <code value="Ratio"/>
        </type>
        <isModifier value="false"/>
        <mapping>
          <identity value="rim"/>
          <map value="maxDoseQuantity"/>
        </mapping>
        <mapping>
          <identity value="v2"/>
          <map value="RXE-4-Give Amount - Maximum / RXE-5-Give Units"/>
        </mapping>
      </definition>
    </element>
    <searchParam>
      <name value="_id"/>
      <type value="token"/>
      <documentation value="The logical resource id associated with the resource (must be supported by all servers)"/>
    </searchParam>
    <searchParam>
      <name value="_language"/>
      <type value="token"/>
      <documentation value="The language of the resource"/>
    </searchParam>
    <searchParam>
      <name value="device"/>
      <type value="reference"/>
      <documentation value="Return administrations with this administration device identity"/>
      <xpath value="f:MedicationAdministration/f:device"/>
    </searchParam>
    <searchParam>
      <name value="encounter"/>
      <type value="reference"/>
      <documentation value="Return administrations that share this encounter"/>
      <xpath value="f:MedicationAdministration/f:encounter"/>
    </searchParam>
    <searchParam>
      <name value="identifier"/>
      <type value="token"/>
      <documentation value="Return administrations with this external identity"/>
      <xpath value="f:MedicationAdministration/f:identifier"/>
    </searchParam>
    <searchParam>
      <name value="medication"/>
      <type value="reference"/>
      <documentation value="Return administrations of this medication"/>
      <xpath value="f:MedicationAdministration/f:medication"/>
    </searchParam>
    <searchParam>
      <name value="notgiven"/>
      <type value="token"/>
      <documentation value="Administrations that were not made"/>
      <xpath value="f:MedicationAdministration/f:wasNotGiven"/>
    </searchParam>
    <searchParam>
      <name value="patient"/>
      <type value="reference"/>
      <documentation value="The identity of a patient to list administrations  for"/>
      <xpath value="f:MedicationAdministration/f:patient"/>
    </searchParam>
    <searchParam>
      <name value="prescription"/>
      <type value="reference"/>
      <documentation value="The identity of a prescription to list administrations from"/>
      <xpath value="f:MedicationAdministration/f:prescription"/>
    </searchParam>
    <searchParam>
      <name value="status"/>
      <type value="token"/>
      <documentation value="MedicationAdministration event status (for example one of active/paused/completed/nullified)"/>
      <xpath value="f:MedicationAdministration/f:status"/>
    </searchParam>
    <searchParam>
      <name value="whengiven"/>
      <type value="date"/>
      <documentation value="Date of administration"/>
      <xpath value="f:MedicationAdministration/f:whenGiven"/>
    </searchParam>
  </structure>
</Profile>