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Status: Not an approved resource: draft for comment developed by Pharmacy WG. Under consideration by the Patient Care work group
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.
The resource name as it appears in a RESTful URL is /medicationadministration/
This is the first of several resources Pharmacy will be producing.
The four resources below cover the major activities of the Pharmacy domain; there will then be a Medication resource to allow the identification and management of Medicines.
| Resource | Comments |
|---|---|
| MedicationAdministration | The event of a patient consuming a medicine (see V3 Pharmacy Domain PORX_ST040110UV) |
| MedicationDispense | Provision of a supply of a medication with the intention that it is subsequently consumed by a patient. The supply and the associated administration instructions may not exactly follow the original order (prescription) either because some details were left for completion at this point in the process, or because the dispenser exercised their clinical judgment to make some appropriate modification. |
| MedicationPrescription | This is the original order for both supply of the medication and the instructions for administration of the medicine to a patient. |
| MedicationStatement | This is a record of medication being given to a patient where the record is the result of a report from the patient, or another clinician. A medication statement is not a part of the prescribe->dispense->administer sequence but is a report that such a sequence (or at least a part of it) did take place resulting in a belief that the patient has received a particular medication. |
<MedicationAdministration xmlns="http://hl7.org/fhir"> <administrationEventStatus><!-- 1..1 code Administration event status --></administrationEventStatus> <isNegated><!-- 0..1 boolean Is event negated --></isNegated> <negatedReason><!-- 0..* CodeableConcept Reason event is negated --></negatedReason> <effectiveTime><!-- 1..1 Period Effective time --></effectiveTime> <method><!-- 0..1 CodeableConcept Administration method --></method> <approachSite><!-- 0..1 CodeableConcept Approach site --></approachSite> <route><!-- 0..1 CodeableConcept Route of administration --></route> <administeredDose><!-- 0..1 Quantity Administered dose --></administeredDose> <doseRate><!-- 0..1 Quantity Dose rate --></doseRate> <id><!-- 0..* HumanId id --></id> <prescription><!-- 1..1 Resource(Prescription) Prescription --></prescription> <patient><!-- 1..1 Resource(Patient) Patient --></patient> <medication><!-- 1..* CodeableConcept Medication --></medication> <encounter><!-- 0..1 HumanId Encounter --></encounter> <administrationDevice><!-- 0..* Resource(Device) Administration device --></administrationDevice> <text><!-- 1..1 Narrative Text summary of resource (for human interpretation) --></text> <extension><!-- 0..* Extension Extensions to the MedicationAdministration resource --></extension> </MedicationAdministration>
Alternate definitions: Schema/Schematron, RDF (to do), XML, XMI (to do), Resource Profile
Terminology Bindings
| Path | Details | Strength |
|---|---|---|
| MedicationAdministration.administrationEventStatus | A set of codes indicating the current status of a MedicationAdministration (see http://hl7.org/fhir/MedAdmStatus for values) | complete/required |
| MedicationAdministration.negatedReason | to be completed | complete/required |
| MedicationAdministration.method | to be completed | complete/required |
| MedicationAdministration.approachSite | to be completed | complete/required |
| MedicationAdministration.route | to be completed | complete/required |
| MedicationAdministration.medication | to be completed | complete/required |
Constraints
| Issue | Comments |
|---|---|
| Medication Resource | A medication will typically be referred to by means of a code drawn from a suitable Medicines Terminology. However on occasion a product will be required for which the "recipe" must be specified. This implies a requirement to deal with a choice of either a code or a much more complete resource. Currently that resource has not been created. |
| Encounter | Administration records are usually tied to some wider grouping of care records. Encounter or Episode of Care is a common name for this. The present MedicationAdministration resource (and the other three yet to be built) link to an Encounter as an identifier, but it may be more appropriate for it to be a full resource. |
| Contrast Media | Is this resource adequate for administering contrast media to a patient? |
| Author (accountability) | Authorship (and any other accountability) is assumed to be dealt with by the standard FHIR methods. |
Search Parameters for RESTful searches. The standard parameters also apply. See Searching for more information.
| $page : integer | Starting offset of the first record to return in the search set | single |
| $count : integer | Number of return records requested. The server is not bound to conform | single |
| $id : token | The logical resource id associated with the resource (must be supported by all servers) | single |
| patient : qtoken | The identity of a patient to list administrations for | single |
| prescription : qtoken | The identity of a prescription to list administrations from | single |
| date : date | date equal to Date of administration | single |
| date-before : date | date before or equal to Date of administration | single |
| date-after : date | date after or equal to Date of administration | single |
| status : token | Status of the administration | union |
| medicineCode : qtoken | Code for medicine or text in medicine name | union |
| medicineName : string | Text in medicine name | union |
| identity : qtoken | Return administrations with this external identity | union |
| encounter : qtoken | Return administrations with this encounter identity | union |
| administrationDevice : qtoken | Return administrations with this administration device identity | union |
(See Searching).
This is an old version of FHIR retained for archive purposes. Do not use for anything else
Implementers are welcome to experiment with the content defined here, but should note that the contents are subject to change without prior notice.
© HL7.org 2011 - 2012. FHIR v0.06 generated on Tue, Dec 4, 2012 00:03+1100. License