US Public Health Profiles Library
2.0.0-ballot - STU 2 - Ballot
US Public Health Profiles Library
2.0.0-ballot - STU 2 - Ballot
This page is part of the US Public Health Profiles Library (v2.0.0-ballot: STU 2 Ballot) based on FHIR (HL7® FHIR® Standard) R4. This version is a pre-release. The current official version is 1.0.0. For a full list of available versions, see the Directory of published versions
| Official URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-medicationadministration | Version: 2.0.0-ballot | |||
| Standards status: Trial-use | Maturity Level: 3 | Computable Name: USPublicHealthMedicationAdministration | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.58.42.36 | ||||
This MedicationAdministration profile represents the event of a patient consuming or otherwise being administered a medication.
This profile constrains the base MedicationAdministration resource and is different to the US Core MedicationRequest which is intended to be used to record a patient’s medication prescription or order.
| Use Case | Data Class | Data Element Name |
|---|---|---|
| Case Reporting | Medications | Date Medication Administered |
| Case Reporting | Medications | Medication Administered Code |
| Case Reporting | Medications | Medication Administration Dose |
| Case Reporting | Medications | Medication Administration Dose Units |
| Case Reporting | Medications | Therapeutic Medication Response |
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
 extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827)  (extensible): Therapeutic Response to Medication |
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
 identifier |
S | 0..* | Identifier | External identifier |
| 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. |
  medication[x] |
SΣ | 1..1 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |
 medicationCodeableConcept |
CodeableConcept | |||
  medicationReference |
Reference(US Core Medication Profile) | |||
| subject |
SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication |
| effective[x] |
SΣ | 1..1 | (USCDI+) Date Medication Administered | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
 dosage |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 |
 modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| route |
S | 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. |
| dose |
S | 0..1 | SimpleQuantity | Amount of medication per dose |
| unit |
SΣ | 0..1 | string | (USCDI+) Medication Administration Dose Units |
| code |
SΣ | 0..1 | code | (USCDI+) Medication Administration Dose |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 | |
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |
| extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827) (extensible): Therapeutic Response to Medication |
 identifier |
S | 0..* | Identifier | External identifier |
| status |
S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
| medication[x] |
S | 1..1 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(US Core Medication Profile) | |||
| subject |
S | 1..1 | Reference(US Public Health Patient) | Who received medication |
| effective[x] |
S | 1..1 | dateTime, Period | (USCDI+) Date Medication Administered |
| dosage |
S | 0..1 | BackboneElement | Details of how medication was taken |
| route |
S | 0..1 | CodeableConcept | Path of substance into body |
| dose |
S | 0..1 | SimpleQuantity | Amount of medication per dose |
| unit |
S | 0..1 | string | (USCDI+) Medication Administration Dose Units |
| code |
S | 0..1 | code | (USCDI+) Medication Administration Dose |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
| id |
Σ | 0..1 | id | 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): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827) (extensible): Therapeutic Response to Medication | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile) | |||||||
| subject |
SΣ | 1..1 | Reference(US Public Health Patient) | 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 | (USCDI+) Date Medication Administered | |||||
| 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 |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||
| 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 |
S | 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 |
S | 0..1 | SimpleQuantity | Amount of medication per dose | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| unit |
SΣ | 0..1 | string | (USCDI+) Medication Administration Dose Units | ||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code |
SΣ | 0..1 | code | (USCDI+) Medication Administration 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionFrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
| extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827) (extensible): Therapeutic Response to Medication |
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored |
| identifier |
S | 0..* | Identifier | External identifier |
| 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. |
| medication[x] |
SΣ | 1..1 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(US Core Medication Profile) | |||
| subject |
SΣ | 1..1 | Reference(US Public Health Patient) | Who received medication |
| effective[x] |
SΣ | 1..1 | (USCDI+) Date Medication Administered | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| dosage |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 |
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
| route |
S | 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. |
| dose |
S | 0..1 | SimpleQuantity | Amount of medication per dose |
| unit |
SΣ | 0..1 | string | (USCDI+) Medication Administration Dose Units |
| code |
SΣ | 0..1 | code | (USCDI+) Medication Administration Dose |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 | |
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |
| extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827) (extensible): Therapeutic Response to Medication |
| identifier |
S | 0..* | Identifier | External identifier |
| status |
S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
| medication[x] |
S | 1..1 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(US Core Medication Profile) | |||
| subject |
S | 1..1 | Reference(US Public Health Patient) | Who received medication |
| effective[x] |
S | 1..1 | dateTime, Period | (USCDI+) Date Medication Administered |
| dosage |
S | 0..1 | BackboneElement | Details of how medication was taken |
| route |
S | 0..1 | CodeableConcept | Path of substance into body |
| dose |
S | 0..1 | SimpleQuantity | Amount of medication per dose |
| unit |
S | 0..1 | string | (USCDI+) Medication Administration Dose Units |
| code |
S | 0..1 | code | (USCDI+) Medication Administration Dose |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
| id |
Σ | 0..1 | id | 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): A human language.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| extension |
S | 0..* | CodeableConcept | (USCDI+) Therapeutic Medication Response URL: http://hl7.org/fhir/us/ph-library/StructureDefinition/us-ph-therapeutic-medication-response-extension Binding: TherapeuticResponseToMedication (20240827) (extensible): Therapeutic Response to Medication | ||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier |
S | 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 | (USCDI+) Medication Administered Code Binding: MedicationClinicalDrug (20240606) (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(US Core Medication Profile) | |||||||
| subject |
SΣ | 1..1 | Reference(US Public Health Patient) | 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 | (USCDI+) Date Medication Administered | |||||
| 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 |
SC | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||
| 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 |
S | 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 |
S | 0..1 | SimpleQuantity | Amount of medication per dose | ||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||
| value |
Σ | 0..1 | decimal | Numerical value (with implicit precision) | ||||
| unit |
SΣ | 0..1 | string | (USCDI+) Medication Administration Dose Units | ||||
| system |
ΣC | 0..1 | uri | System that defines coded unit form | ||||
| code |
SΣ | 0..1 | code | (USCDI+) Medication Administration 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesFrom the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4|20240606 | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionFrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesFrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | 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 | error | 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 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Must-Support: 11 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2025+ HL7 International / Public Health. Package hl7.fhir.us.ph-library#2.0.0-ballot based on FHIR 4.0.1. Generated 2025-07-30
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