NHSN Reporting: Inpatient Medication Administration
1.0.0 - STU 1
NHSN Reporting: Inpatient Medication Administration
1.0.0 - STU 1
This page is part of the NHSN Reporting: Inpatient Medication Administration (v1.0.0: STU 1 on FHIR R4) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions 
| Defining URL: | http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin |
| Version: | 1.0.0 |
| Name: | MedicationAdministrationInpatientMedAdmin |
| Title: | Medication Administration - Inpatient Med Admin |
| Status: | Active as of 2021-10-12T13:08:53+00:00 |
| Definition: | This profile constrains the base MedicationAdministration resource for use in the NHSN Inpatient Medication Administration IG. The constraints are based on the requirements laid out in USCDI Level 2 for Medication Administration. |
| Publisher: | HL7 International - Pharmacy Work Group |
| Source Resource: | XML / JSON / Turtle |
The official URL for this profile is:
http://hl7.org/fhir/us/nhsn-med-admin/StructureDefinition/MedicationAdministration-inpatient-med-admin
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationAdministration
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
  status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
  medication[x] | S | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
  medicationCodeableConcept | CodeableConcept | |||
  medicationReference | Reference(US Core Medication Profile) | |||
| subject | S | 1..1 | Reference(US Core Patient Profile) | Who received medication |
| effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration |
| dosage | S | 0..1 | BackboneElement | Details of how medication was taken |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
 id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
 extension | 0..* | Extension | Additional content defined by implementations | |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition |
| partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |
| medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
| effective[x] | SΣ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration |
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | SI | 0..1 | BackboneElement | Details of how medication was taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
 rate[x] | 0..1 | Dose quantity per unit of time | ||
 rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| medication[x] | Σ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | Σ | 1..1 | Reference(US Core Patient Profile) | Who received medication |
| effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| dosage | I | 0..1 | BackboneElement | Details of how medication was taken |
| Documentation for this format | ||||
This structure is derived from MedicationAdministration
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
| status | S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
| medication[x] | S | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | S | 1..1 | Reference(US Core Patient Profile) | Who received medication |
| effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration |
| dosage | S | 0..1 | BackboneElement | Details of how medication was taken |
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
| id | Σ | 0..1 | string | Logical id of this artifact |
| meta | Σ | 0..1 | Meta | Metadata about the resource |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred) Max Binding: AllLanguages: A human language. | |
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |
| contained | 0..* | Resource | Contained, inline Resources | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier | 0..* | Identifier | External identifier | |
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition |
| partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event |
| status | ?!SΣ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |
| medication[x] | SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(US Core Medication Profile) | |||
| subject | SΣ | 1..1 | Reference(US Core Patient Profile) | Who received medication |
| context | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |
| effective[x] | SΣ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |
| actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration |
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |
| reasonReference | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(MedicationRequest) | Request administration performed against | |
| device | 0..* | Reference(Device) | Device used to administer | |
| note | 0..* | Annotation | Information about the administration | |
| dosage | SI | 0..1 | BackboneElement | Details of how medication was taken |
| id | 0..1 | string | Unique id for inter-element referencing | |
| extension | 0..* | Extension | Additional content defined by implementations | |
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| text | 0..1 | string | Free text dosage instructions e.g. SIG | |
| site | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |
| route | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |
| method | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |
| dose | 0..1 | SimpleQuantity | Amount of medication per dose | |
| rate[x] | 0..1 | Dose quantity per unit of time | ||
| rateRatio | Ratio | |||
| rateQuantity | Quantity(SimpleQuantity) | |||
| eventHistory | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, 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] | extensible | Medication Clinical Drug |
| 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 |
| Id | Path | Details | Requirements |
| dom-2 | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | MedicationAdministration.meta | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.implicitRules | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.language | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.identifier | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.instantiates | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.partOf | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.status | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.statusReason | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.category | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.medication[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.subject | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.context | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.supportingInformation | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.effective[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.performer | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.performer.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.performer.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.performer.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.performer.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.performer.function | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.performer.actor | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.reasonCode | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.reasonReference | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.request | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.device | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.note | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| mad-1 | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() | |
| ele-1 | MedicationAdministration.dosage.extension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.dosage.extension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.dosage.modifierExtension | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | MedicationAdministration.dosage.modifierExtension | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| ele-1 | MedicationAdministration.dosage.text | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage.site | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage.route | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage.method | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage.dose | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.dosage.rate[x] | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ele-1 | MedicationAdministration.eventHistory | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
IG © 2020+ HL7 International - Pharmacy Work Group. Package hl7.fhir.us.nhsn-med-admin#1.0.0 based on FHIR 4.0.1. Generated 2021-10-12
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