The formal definitions for the elements in the medicationadministration resource. Also available as an XML file.
| MedicationAdministration |
| Definition | 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 provider |
| Control | 1..1 |
| RIM Mapping | SubstanceAdministration |
| MedicationAdministration.administrationEventStatus |
| Definition | 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. |
| Control | 1..1 |
| Type | code from MedicationAdministrationStatus |
| RIM Mapping | SubstanceAdministration.statusCode |
| MedicationAdministration.isNegated |
| Definition | Set this to true if the record is saying that the medication was NOT administered. |
| Control | 0..1 |
| Type | boolean |
| RIM Mapping | SubstanceAdministration.actionNegationInd |
| MedicationAdministration.negatedReason |
| Definition | A code indicating why the administration has been negated.
Use only if isNegated is set to TRUE |
| Control | 0..* |
| Type | CodeableConcept from MedicationAdministrationNegationReason |
| RIM Mapping | SubstanceAdministration->Reason->Observation->Value |
| MedicationAdministration.effectiveTime |
| Definition | An interval of time during which the administration takes place. For many administrations, such as swallowing a tablet the lower and upper values of the interval will be the same. |
| Control | 1..1 |
| Type | Period |
| RIM Mapping | SubstanceAdministration.effectiveTime |
| MedicationAdministration.method |
| Definition | A coded value indicating the method by which the medication is 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. |
| Control | 0..1 |
| Type | CodeableConcept from MedicationAdministrationMethod |
| RIM Mapping | SubstanceAdministration.methodCode |
| MedicationAdministration.approachSite |
| Definition | A coded value indicating the location on the body where the medication is introduced into or onto the body. Where the code system indicates laterality by means of a separate coded concept this must be post-coordinated with the code indicating the location. |
| Control | 0..1 |
| Type | CodeableConcept from MedicationAdministrationSite |
| RIM Mapping | SubstanceAdministration.approachSIteCode |
| MedicationAdministration.route |
| Definition | A coded value indicating the path in or on the body by which the medication is introduced into or onto the body. Where the code system indicates laterality by means of a separate coded concept this must be post-coordinated with the code indicating the route. |
| Control | 0..1 |
| Type | CodeableConcept from RouteOfAdministration |
| RIM Mapping | SubstanceAdministration.routeCode |
| MedicationAdministration.administeredDose |
| Definition | The amount of a medication administered to the patient as a single amount. |
| Control | 0..1 |
| Type | Quantity |
| Comments | (??Need to check work for Puffs.) |
| RIM Mapping | SubstanceAdministration.doseQuantity |
| MedicationAdministration.doseRate |
| Definition | The amount of a medication administered to the patient over a period of time.
Example 250ml/30min |
| Control | 0..1 |
| Type | Quantity |
| Comments | (??Need to check work for Puffs.) |
| RIM Mapping | SubstanceAdministration.doseRate |
| MedicationAdministration.id |
| Definition | 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. |
| Control | 0..* |
| Type | HumanId |
| RIM Mapping | SubstanceAdministration.id |
| MedicationAdministration.prescription |
| Definition | A link to a resource that provides the original request, instruction and authority to perform the administration. |
| Control | 1..1 |
| Type | Resource(Prescription) |
| RIM Mapping | SubstanceAdministration->InFullfillmentOf->SubstanceAdministration |
| MedicationAdministration.patient |
| Definition | A link to a resource representing the person to whom the medication was given. |
| Control | 1..1 |
| Type | Resource(Patient) |
| RIM Mapping | SubstanceAdministration->subject->Patient |
| MedicationAdministration.medication |
| Definition | 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. |
| Control | 1..* |
| Type | CodeableConcept from AMedicinesTerminology |
| RIM Mapping | SubstanceAdministration->consumable->ManufacturedProduct |
| MedicationAdministration.encounter |
| Definition | An identifier or a link to a resource that identifies the particular occurrence of contact between patient and health care provider. |
| Control | 0..1 |
| Type | HumanId |
| RIM Mapping | SubstanceAdministration->component->EncounterEvent |
| MedicationAdministration.administrationDevice |
| Definition | An identifier or a link to a resource that identifies a device used in administering the medication to the patient. |
| Control | 0..* |
| Type | Resource(Device) |
| RIM Mapping | SubstanceAdministration->device->Access OR SubstanceAdministration->device->AssignedDevice |
| MedicationAdministration.text |
| Definition | Text summary of resource (for human interpretation) |
| Control | 1..1 |
| Type | Narrative |
| MedicationAdministration.extension |
| Definition | Extensions to the MedicationAdministration resource |
| Control | 0..* |
| Type | Extension |
. Page versions: R5 R4B R4 R3 R2
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