Retrieval of Real World Data for Clinical Research
1.0.0 - trial-use
Retrieval of Real World Data for Clinical Research
1.0.0 - trial-use
This page is part of the Retrieval of Real World Data for Clinical Research (v1.0.0: STU1) 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 
| Official URL: http://hl7.org/fhir/uv/vulcan-rwd/StructureDefinition/MedicationAdministrationRwd | Version: 1.0.0 | |||
| Active as of 2023-05-26 | Computable Name: MedicationAdministrationRwd | |||
A profile on MedicationAdministration that indicates the minimum set of attributes required for finding patients who may be taking certain medications.
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
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 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this |
 medicationReference | 0..1 | Reference(IPA-Medication) | What was administered | |
| subject | S | 1..1 | Reference(IPA-Patient) | Who received medication |
 effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration |
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
 implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| status | ?!SΣ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
 Slices for medication[x] | SΣ | 1..1 | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
   medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
  medication[x]:medicationReference | Σ | 0..1 | Reference(IPA-Medication) | What was administered |
| subject | SΣ | 1..1 | Reference(IPA-Patient) | Who received medication |
  effective[x] | SΣ | 1..1 | Start and end time of administration | |
 effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationAdministration.status | required | MedicationAdministration Status Codes |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes |
| 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() |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | |||||
| 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. | |||||
| Slices for medication[x] | SΣ | 1..1 | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(IPA-Medication) | What was administered | ||||
| subject | SΣ | 1..1 | Reference(IPA-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 | 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 | C | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationAdministration.language | preferred | CommonLanguages
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| 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 | Grade | Path(s) | Details | Requirements |
| 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: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
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 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this |
| medicationReference | 0..1 | Reference(IPA-Medication) | What was administered | |
| subject | S | 1..1 | Reference(IPA-Patient) | Who received medication |
| effective[x] | S | 1..1 | dateTime, Period | Start and end time of administration |
| Documentation for this format | ||||
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| 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. |
| Slices for medication[x] | SΣ | 1..1 | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |
| medicationCodeableConcept | CodeableConcept | |||
| medicationReference | Reference(Medication) | |||
| medication[x]:medicationReference | Σ | 0..1 | Reference(IPA-Medication) | What was administered |
| subject | SΣ | 1..1 | Reference(IPA-Patient) | Who received medication |
| effective[x] | SΣ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationAdministration.status | required | MedicationAdministration Status Codes |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes |
| 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() |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| 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 | |||||
| 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. | |||||
| Slices for medication[x] | SΣ | 1..1 | What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||
| medicationCodeableConcept | CodeableConcept | |||||||
| medicationReference | Reference(Medication) | |||||||
| medication[x]:medicationReference | Σ | 0..1 | Reference(IPA-Medication) | What was administered | ||||
| subject | SΣ | 1..1 | Reference(IPA-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 | 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 | C | 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 | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationAdministration.language | preferred | CommonLanguages
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| 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 | Grade | Path(s) | Details | Requirements |
| 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: 4 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 International - Biomedical Research & Regulation Work Group. Package hl7.fhir.uv.vulcan-rwd#1.0.0 based on FHIR 4.0.1. Generated 2023-05-26
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