Draft PH Core Implementation Guide
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Draft PH Core Implementation Guide - Local Development build (v0.2.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Resource Profile: PHCoreMedicationAdministration - Detailed Descriptions

Draft as of 2026-04-10

Definitions for the ph-core-medicationadministration resource profile.

Guidance on how to interpret the contents of this table can be foundhere

0. MedicationAdministration
Definition

Describes the event of a patient consuming or otherwise being administered 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 practitioner.

ShortAdministration of medication to a patient
Control0..*
Is Modifierfalse
Summaryfalse
Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
dom-6: A resource should have narrative for robust management (text.`div`.exists())
2. MedicationAdministration.implicitRules
Definition

A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

ShortA set of rules under which this content was created
Comments

Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

Control0..1
Typeuri
Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
4. MedicationAdministration.modifierExtension
Definition

May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

ShortExtensions that cannot be ignored
Comments

There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

Control0..*
TypeExtension
Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
Summaryfalse
Requirements

Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

Alternate Namesextensions, user content
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
6. MedicationAdministration.partOf
Definition

A larger event of which this particular event is a component or step.

ShortPart of referenced event
Control0..*
TypeReference(PH Core Medication Administration, PH Core Procedure, MedicationAdministration, Procedure)
Is Modifierfalse
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
8. MedicationAdministration.status
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.

Shortin-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Comments

This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

Control1..1
BindingThe codes SHALL be taken from MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
(required to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1)

A set of codes indicating the current status of a MedicationAdministration.

Typecode
Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
Summarytrue
Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
10. MedicationAdministration.statusReason
Definition

A code indicating why the administration was not performed.

ShortReason administration not performed
Control0..*
BindingFor example codes, see SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1
(example to http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1)

A set of codes indicating the reason why the MedicationAdministration is negated.

TypeCodeableConcept
Is Modifierfalse
Must Supporttrue
Obligations
    ObligationsActor
    SHALL:handlePH Core Server
    SHALL:handlePH Core Consumer
    MAY:able-to-populatePH Core Creator
    Summaryfalse
    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
    12. MedicationAdministration.statusReason.coding
    Definition

    A reference to a code defined by a terminology system.

    ShortCode defined by a terminology system
    Comments

    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

    Control0..*
    TypeCoding
    Is Modifierfalse
    Must Supporttrue
    Obligations
      ObligationsActor
      SHALL:handlePH Core Server
      SHALL:handlePH Core Consumer
      MAY:able-to-populatePH Core Creator
      Summarytrue
      Requirements

      Allows for alternative encodings within a code system, and translations to other code systems.

      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
      14. MedicationAdministration.statusReason.text
      Definition

      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

      ShortPlain text representation of the concept
      Comments

      Very often the text is the same as a displayName of one of the codings.

      Control0..1
      Typestring
      Is Modifierfalse
      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
      Must Supporttrue
      Obligations
        ObligationsActor
        SHALL:handlePH Core Server
        SHALL:handlePH Core Consumer
        MAY:able-to-populatePH Core Creator
        Summarytrue
        Requirements

        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
        16. MedicationAdministration.category
        Definition

        Indicates where the medication is expected to be consumed or administered.

        ShortType of medication usage
        Control0..1
        BindingThe codes SHOULD be taken from MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1
        (preferred to http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1)

        A coded concept describing where the medication administered is expected to occur.

        TypeCodeableConcept
        Is Modifierfalse
        Must Supporttrue
        Obligations
          ObligationsActor
          SHALL:handlePH Core Server
          SHALL:handlePH Core Consumer
          MAY:able-to-populatePH Core Creator
          Summaryfalse
          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
          18. MedicationAdministration.category.coding
          Definition

          A reference to a code defined by a terminology system.

          ShortCode defined by a terminology system
          Comments

          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

          Control0..*
          TypeCoding
          Is Modifierfalse
          Must Supporttrue
          Obligations
            ObligationsActor
            SHALL:handlePH Core Server
            SHALL:handlePH Core Consumer
            MAY:able-to-populatePH Core Creator
            Summarytrue
            Requirements

            Allows for alternative encodings within a code system, and translations to other code systems.

            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
            20. MedicationAdministration.category.text
            Definition

            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

            ShortPlain text representation of the concept
            Comments

            Very often the text is the same as a displayName of one of the codings.

            Control0..1
            Typestring
            Is Modifierfalse
            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
            Must Supporttrue
            Obligations
              ObligationsActor
              SHALL:handlePH Core Server
              SHALL:handlePH Core Consumer
              MAY:able-to-populatePH Core Creator
              Summarytrue
              Requirements

              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              22. MedicationAdministration.medication[x]
              Definition

              Identifies the medication that was administered. 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.

              ShortWhat was administered
              Comments

              If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

              Control1..1
              BindingFor example codes, see SNOMEDCTMedicationCodeshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
              (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

              Codes identifying substance or product that can be administered.

              TypeChoice of: CodeableConcept, Reference(Medication)
              [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
              Is Modifierfalse
              Summarytrue
              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
              SlicingThis element introduces a set of slices on MedicationAdministration.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
              • type @ $this
              • 24. MedicationAdministration.medication[x]:medicationReference
                Slice NamemedicationReference
                Definition

                Identifies the medication that was administered. 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.

                ShortWhat was administered
                Comments

                If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                Control01..1
                TypeReference(PH Core Medication, Medication), CodeableConcept
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Summarytrue
                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                26. MedicationAdministration.medication[x]:medicationCodeableConcept
                Slice NamemedicationCodeableConcept
                Definition

                Identifies the medication that was administered. 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.

                ShortWhat was administered
                Comments

                If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                Control01..1
                BindingThe codes SHOULD be taken from For example codes, see Drugshttp://hl7.org/fhir/ValueSet/medication-codes|4.0.1
                (preferred to http://doh.gov.ph/fhir/ph-core/ValueSet/drugs-vs)
                TypeCodeableConcept, Reference(Medication)
                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                Is Modifierfalse
                Must Supporttrue
                Obligations
                  ObligationsActor
                  SHALL:handlePH Core Server
                  SHALL:handlePH Core Consumer
                  MAY:able-to-populatePH Core Creator
                  Summarytrue
                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                  28. MedicationAdministration.medication[x]:medicationCodeableConcept.coding
                  Definition

                  A reference to a code defined by a terminology system.

                  ShortCode defined by a terminology system
                  Comments

                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                  Control0..*
                  TypeCoding
                  Is Modifierfalse
                  Must Supporttrue
                  Obligations
                    ObligationsActor
                    SHALL:handlePH Core Server
                    SHALL:handlePH Core Consumer
                    MAY:able-to-populatePH Core Creator
                    Summarytrue
                    Requirements

                    Allows for alternative encodings within a code system, and translations to other code systems.

                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                    30. MedicationAdministration.medication[x]:medicationCodeableConcept.text
                    Definition

                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                    ShortPlain text representation of the concept
                    Comments

                    Very often the text is the same as a displayName of one of the codings.

                    Control0..1
                    Typestring
                    Is Modifierfalse
                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                    Must Supporttrue
                    Obligations
                      ObligationsActor
                      SHALL:handlePH Core Server
                      SHALL:handlePH Core Consumer
                      MAY:able-to-populatePH Core Creator
                      Summarytrue
                      Requirements

                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      32. MedicationAdministration.subject
                      Definition

                      The person or animal or group receiving the medication.

                      ShortWho received medication
                      Control1..1
                      TypeReference(PH Core Patient, Group, Patient, Group)
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      34. MedicationAdministration.context
                      Definition

                      The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.

                      ShortEncounter or Episode of Care administered as part of
                      Control0..1
                      TypeReference(PH Core Encounter, EpisodeOfCare, Encounter, EpisodeOfCare)
                      Is Modifierfalse
                      Summaryfalse
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      36. MedicationAdministration.effective[x]
                      Definition

                      A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.

                      ShortStart and end time of administration
                      Control1..1
                      TypeChoice of: dateTime, Period
                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                      Is Modifierfalse
                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      38. MedicationAdministration.performer
                      Definition

                      Indicates who or what performed the medication administration and how they were involved.

                      ShortWho performed the medication administration and what they did
                      Control0..*
                      TypeBackboneElement
                      Is Modifierfalse
                      Summarytrue
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      40. MedicationAdministration.performer.modifierExtension
                      Definition

                      May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                      ShortExtensions that cannot be ignored even if unrecognized
                      Comments

                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                      Control0..*
                      TypeExtension
                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                      Summarytrue
                      Requirements

                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                      Alternate Namesextensions, user content, modifiers
                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                      42. MedicationAdministration.performer.function
                      Definition

                      Distinguishes the type of involvement of the performer in the medication administration.

                      ShortType of performance
                      Control0..1
                      BindingFor example codes, see MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1
                      (example to http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1)

                      A code describing the role an individual played in administering the medication.

                      TypeCodeableConcept
                      Is Modifierfalse
                      Must Supporttrue
                      Obligations
                        ObligationsActor
                        SHALL:handlePH Core Server
                        SHALL:handlePH Core Consumer
                        MAY:able-to-populatePH Core Creator
                        Summaryfalse
                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                        44. MedicationAdministration.performer.function.coding
                        Definition

                        A reference to a code defined by a terminology system.

                        ShortCode defined by a terminology system
                        Comments

                        Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                        Control0..*
                        TypeCoding
                        Is Modifierfalse
                        Must Supporttrue
                        Obligations
                          ObligationsActor
                          SHALL:handlePH Core Server
                          SHALL:handlePH Core Consumer
                          MAY:able-to-populatePH Core Creator
                          Summarytrue
                          Requirements

                          Allows for alternative encodings within a code system, and translations to other code systems.

                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                          46. MedicationAdministration.performer.function.text
                          Definition

                          A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                          ShortPlain text representation of the concept
                          Comments

                          Very often the text is the same as a displayName of one of the codings.

                          Control0..1
                          Typestring
                          Is Modifierfalse
                          Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                          Must Supporttrue
                          Obligations
                            ObligationsActor
                            SHALL:handlePH Core Server
                            SHALL:handlePH Core Consumer
                            MAY:able-to-populatePH Core Creator
                            Summarytrue
                            Requirements

                            The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            48. MedicationAdministration.performer.actor
                            Definition

                            Indicates who or what performed the medication administration.

                            ShortWho performed the medication administration
                            Control1..1
                            TypeReference(PH Core Practitioner, PH Core PractitionerRole, PH Core Patient, PH Core RelatedPerson, Device, Practitioner, PractitionerRole, Patient, RelatedPerson, Device)
                            Is Modifierfalse
                            Summarytrue
                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                            50. MedicationAdministration.reasonCode
                            Definition

                            A code indicating why the medication was given.

                            ShortReason administration performed
                            Control0..*
                            BindingFor example codes, see ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1
                            (example to http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1)

                            A set of codes indicating the reason why the MedicationAdministration was made.

                            TypeCodeableConcept
                            Is Modifierfalse
                            Must Supporttrue
                            Obligations
                              ObligationsActor
                              SHALL:handlePH Core Server
                              SHALL:handlePH Core Consumer
                              MAY:able-to-populatePH Core Creator
                              Summaryfalse
                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                              52. MedicationAdministration.reasonCode.coding
                              Definition

                              A reference to a code defined by a terminology system.

                              ShortCode defined by a terminology system
                              Comments

                              Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                              Control0..*
                              TypeCoding
                              Is Modifierfalse
                              Must Supporttrue
                              Obligations
                                ObligationsActor
                                SHALL:handlePH Core Server
                                SHALL:handlePH Core Consumer
                                MAY:able-to-populatePH Core Creator
                                Summarytrue
                                Requirements

                                Allows for alternative encodings within a code system, and translations to other code systems.

                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                54. MedicationAdministration.reasonCode.text
                                Definition

                                A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                ShortPlain text representation of the concept
                                Comments

                                Very often the text is the same as a displayName of one of the codings.

                                Control0..1
                                Typestring
                                Is Modifierfalse
                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                Must Supporttrue
                                Obligations
                                  ObligationsActor
                                  SHALL:handlePH Core Server
                                  SHALL:handlePH Core Consumer
                                  MAY:able-to-populatePH Core Creator
                                  Summarytrue
                                  Requirements

                                  The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  56. MedicationAdministration.reasonReference
                                  Definition

                                  Condition or observation that supports why the medication was administered.

                                  ShortCondition or observation that supports why the medication was administered
                                  Comments

                                  This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode.

                                  Control0..*
                                  TypeReference(Condition, PH Core Observation, DiagnosticReport, Condition, Observation, DiagnosticReport)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  58. MedicationAdministration.request
                                  Definition

                                  The original request, instruction or authority to perform the administration.

                                  ShortRequest administration performed against
                                  Comments

                                  This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.

                                  Control0..1
                                  TypeReference(PH Core Medication Request, MedicationRequest)
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  60. MedicationAdministration.dosage
                                  Definition

                                  Describes the medication dosage information details e.g. dose, rate, site, route, etc.

                                  ShortDetails of how medication was taken
                                  Control0..1
                                  TypeBackboneElement
                                  Is Modifierfalse
                                  Summaryfalse
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())
                                  mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())
                                  62. MedicationAdministration.dosage.modifierExtension
                                  Definition

                                  May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                  Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                  ShortExtensions that cannot be ignored even if unrecognized
                                  Comments

                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                  Control0..*
                                  TypeExtension
                                  Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                  Summarytrue
                                  Requirements

                                  Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                  Alternate Namesextensions, user content, modifiers
                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                  64. MedicationAdministration.dosage.site
                                  Definition

                                  A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".

                                  ShortBody site administered to
                                  Comments

                                  If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

                                  Control0..1
                                  BindingFor example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1
                                  (example to http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1)

                                  A coded concept describing the site location the medicine enters into or onto the body.

                                  TypeCodeableConcept
                                  Is Modifierfalse
                                  Must Supporttrue
                                  Obligations
                                    ObligationsActor
                                    SHALL:handlePH Core Server
                                    SHALL:handlePH Core Consumer
                                    MAY:able-to-populatePH Core Creator
                                    Summaryfalse
                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                    66. MedicationAdministration.dosage.site.coding
                                    Definition

                                    A reference to a code defined by a terminology system.

                                    ShortCode defined by a terminology system
                                    Comments

                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                    Control0..*
                                    TypeCoding
                                    Is Modifierfalse
                                    Must Supporttrue
                                    Obligations
                                      ObligationsActor
                                      SHALL:handlePH Core Server
                                      SHALL:handlePH Core Consumer
                                      MAY:able-to-populatePH Core Creator
                                      Summarytrue
                                      Requirements

                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                      68. MedicationAdministration.dosage.site.text
                                      Definition

                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                      ShortPlain text representation of the concept
                                      Comments

                                      Very often the text is the same as a displayName of one of the codings.

                                      Control0..1
                                      Typestring
                                      Is Modifierfalse
                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                      Must Supporttrue
                                      Obligations
                                        ObligationsActor
                                        SHALL:handlePH Core Server
                                        SHALL:handlePH Core Consumer
                                        MAY:able-to-populatePH Core Creator
                                        Summarytrue
                                        Requirements

                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                        70. MedicationAdministration.dosage.route
                                        Definition

                                        A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.

                                        ShortPath of substance into body
                                        Control0..1
                                        BindingFor example codes, see SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codes|4.0.1
                                        (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)

                                        A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                                        TypeCodeableConcept
                                        Is Modifierfalse
                                        Must Supporttrue
                                        Obligations
                                          ObligationsActor
                                          SHALL:handlePH Core Server
                                          SHALL:handlePH Core Consumer
                                          MAY:able-to-populatePH Core Creator
                                          Summaryfalse
                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                          72. MedicationAdministration.dosage.route.coding
                                          Definition

                                          A reference to a code defined by a terminology system.

                                          ShortCode defined by a terminology system
                                          Comments

                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                          Control0..*
                                          TypeCoding
                                          Is Modifierfalse
                                          Must Supporttrue
                                          Obligations
                                            ObligationsActor
                                            SHALL:handlePH Core Server
                                            SHALL:handlePH Core Consumer
                                            MAY:able-to-populatePH Core Creator
                                            Summarytrue
                                            Requirements

                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                            74. MedicationAdministration.dosage.route.text
                                            Definition

                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                            ShortPlain text representation of the concept
                                            Comments

                                            Very often the text is the same as a displayName of one of the codings.

                                            Control0..1
                                            Typestring
                                            Is Modifierfalse
                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                            Must Supporttrue
                                            Obligations
                                              ObligationsActor
                                              SHALL:handlePH Core Server
                                              SHALL:handlePH Core Consumer
                                              MAY:able-to-populatePH Core Creator
                                              Summarytrue
                                              Requirements

                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                              76. MedicationAdministration.dosage.method
                                              Definition

                                              A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

                                              ShortHow drug was administered
                                              Comments

                                              One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.

                                              Control0..1
                                              BindingFor example codes, see SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1
                                              (example to http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1)

                                              A coded concept describing the technique by which the medicine is administered.

                                              TypeCodeableConcept
                                              Is Modifierfalse
                                              Must Supporttrue
                                              Obligations
                                                ObligationsActor
                                                SHALL:handlePH Core Server
                                                SHALL:handlePH Core Consumer
                                                MAY:able-to-populatePH Core Creator
                                                Summaryfalse
                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                78. MedicationAdministration.dosage.method.coding
                                                Definition

                                                A reference to a code defined by a terminology system.

                                                ShortCode defined by a terminology system
                                                Comments

                                                Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                Control0..*
                                                TypeCoding
                                                Is Modifierfalse
                                                Must Supporttrue
                                                Obligations
                                                  ObligationsActor
                                                  SHALL:handlePH Core Server
                                                  SHALL:handlePH Core Consumer
                                                  MAY:able-to-populatePH Core Creator
                                                  Summarytrue
                                                  Requirements

                                                  Allows for alternative encodings within a code system, and translations to other code systems.

                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                  80. MedicationAdministration.dosage.method.text
                                                  Definition

                                                  A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                  ShortPlain text representation of the concept
                                                  Comments

                                                  Very often the text is the same as a displayName of one of the codings.

                                                  Control0..1
                                                  Typestring
                                                  Is Modifierfalse
                                                  Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                  Must Supporttrue
                                                  Obligations
                                                    ObligationsActor
                                                    SHALL:handlePH Core Server
                                                    SHALL:handlePH Core Consumer
                                                    MAY:able-to-populatePH Core Creator
                                                    Summarytrue
                                                    Requirements

                                                    The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))

                                                    Guidance on how to interpret the contents of this table can be foundhere

                                                    0. MedicationAdministration
                                                    2. MedicationAdministration.partOf
                                                    TypeReference(PH Core Medication Administration, PH Core Procedure)
                                                    4. MedicationAdministration.statusReason
                                                    Must Supporttrue
                                                    Obligations
                                                      ObligationsActor
                                                      SHALL:handlePH Core Server
                                                      SHALL:handlePH Core Consumer
                                                      MAY:able-to-populatePH Core Creator
                                                      6. MedicationAdministration.statusReason.coding
                                                      Must Supporttrue
                                                      Obligations
                                                        ObligationsActor
                                                        SHALL:handlePH Core Server
                                                        SHALL:handlePH Core Consumer
                                                        MAY:able-to-populatePH Core Creator
                                                        8. MedicationAdministration.statusReason.text
                                                        Must Supporttrue
                                                        Obligations
                                                          ObligationsActor
                                                          SHALL:handlePH Core Server
                                                          SHALL:handlePH Core Consumer
                                                          MAY:able-to-populatePH Core Creator
                                                          10. MedicationAdministration.category
                                                          Must Supporttrue
                                                          Obligations
                                                            ObligationsActor
                                                            SHALL:handlePH Core Server
                                                            SHALL:handlePH Core Consumer
                                                            MAY:able-to-populatePH Core Creator
                                                            12. MedicationAdministration.category.coding
                                                            Must Supporttrue
                                                            Obligations
                                                              ObligationsActor
                                                              SHALL:handlePH Core Server
                                                              SHALL:handlePH Core Consumer
                                                              MAY:able-to-populatePH Core Creator
                                                              14. MedicationAdministration.category.text
                                                              Must Supporttrue
                                                              Obligations
                                                                ObligationsActor
                                                                SHALL:handlePH Core Server
                                                                SHALL:handlePH Core Consumer
                                                                MAY:able-to-populatePH Core Creator
                                                                16. MedicationAdministration.medication[x]
                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                SlicingThis element introduces a set of slices on MedicationAdministration.medication[x]. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                • type @ $this
                                                                • 18. MedicationAdministration.medication[x]:medicationReference
                                                                  Slice NamemedicationReference
                                                                  Control0..1
                                                                  TypeReference(PH Core Medication)
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  20. MedicationAdministration.medication[x]:medicationCodeableConcept
                                                                  Slice NamemedicationCodeableConcept
                                                                  Control0..1
                                                                  BindingThe codes SHOULD be taken from Drugs
                                                                  (preferred to http://doh.gov.ph/fhir/ph-core/ValueSet/drugs-vs)
                                                                  TypeCodeableConcept
                                                                  [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                  Must Supporttrue
                                                                  Obligations
                                                                    ObligationsActor
                                                                    SHALL:handlePH Core Server
                                                                    SHALL:handlePH Core Consumer
                                                                    MAY:able-to-populatePH Core Creator
                                                                    22. MedicationAdministration.medication[x]:medicationCodeableConcept.coding
                                                                    Must Supporttrue
                                                                    Obligations
                                                                      ObligationsActor
                                                                      SHALL:handlePH Core Server
                                                                      SHALL:handlePH Core Consumer
                                                                      MAY:able-to-populatePH Core Creator
                                                                      24. MedicationAdministration.medication[x]:medicationCodeableConcept.text
                                                                      Must Supporttrue
                                                                      Obligations
                                                                        ObligationsActor
                                                                        SHALL:handlePH Core Server
                                                                        SHALL:handlePH Core Consumer
                                                                        MAY:able-to-populatePH Core Creator
                                                                        26. MedicationAdministration.subject
                                                                        TypeReference(PH Core Patient, Group)
                                                                        28. MedicationAdministration.context
                                                                        TypeReference(PH Core Encounter, EpisodeOfCare)
                                                                        30. MedicationAdministration.performer
                                                                        32. MedicationAdministration.performer.function
                                                                        Must Supporttrue
                                                                        Obligations
                                                                          ObligationsActor
                                                                          SHALL:handlePH Core Server
                                                                          SHALL:handlePH Core Consumer
                                                                          MAY:able-to-populatePH Core Creator
                                                                          34. MedicationAdministration.performer.function.coding
                                                                          Must Supporttrue
                                                                          Obligations
                                                                            ObligationsActor
                                                                            SHALL:handlePH Core Server
                                                                            SHALL:handlePH Core Consumer
                                                                            MAY:able-to-populatePH Core Creator
                                                                            36. MedicationAdministration.performer.function.text
                                                                            Must Supporttrue
                                                                            Obligations
                                                                              ObligationsActor
                                                                              SHALL:handlePH Core Server
                                                                              SHALL:handlePH Core Consumer
                                                                              MAY:able-to-populatePH Core Creator
                                                                              38. MedicationAdministration.performer.actor
                                                                              TypeReference(PH Core Practitioner, PH Core PractitionerRole, PH Core Patient, PH Core RelatedPerson, Device)
                                                                              40. MedicationAdministration.reasonCode
                                                                              Must Supporttrue
                                                                              Obligations
                                                                                ObligationsActor
                                                                                SHALL:handlePH Core Server
                                                                                SHALL:handlePH Core Consumer
                                                                                MAY:able-to-populatePH Core Creator
                                                                                42. MedicationAdministration.reasonCode.coding
                                                                                Must Supporttrue
                                                                                Obligations
                                                                                  ObligationsActor
                                                                                  SHALL:handlePH Core Server
                                                                                  SHALL:handlePH Core Consumer
                                                                                  MAY:able-to-populatePH Core Creator
                                                                                  44. MedicationAdministration.reasonCode.text
                                                                                  Must Supporttrue
                                                                                  Obligations
                                                                                    ObligationsActor
                                                                                    SHALL:handlePH Core Server
                                                                                    SHALL:handlePH Core Consumer
                                                                                    MAY:able-to-populatePH Core Creator
                                                                                    46. MedicationAdministration.reasonReference
                                                                                    TypeReference(Condition, PH Core Observation, DiagnosticReport)
                                                                                    48. MedicationAdministration.request
                                                                                    TypeReference(PH Core Medication Request)
                                                                                    50. MedicationAdministration.dosage
                                                                                    52. MedicationAdministration.dosage.site
                                                                                    Must Supporttrue
                                                                                    Obligations
                                                                                      ObligationsActor
                                                                                      SHALL:handlePH Core Server
                                                                                      SHALL:handlePH Core Consumer
                                                                                      MAY:able-to-populatePH Core Creator
                                                                                      54. MedicationAdministration.dosage.site.coding
                                                                                      Must Supporttrue
                                                                                      Obligations
                                                                                        ObligationsActor
                                                                                        SHALL:handlePH Core Server
                                                                                        SHALL:handlePH Core Consumer
                                                                                        MAY:able-to-populatePH Core Creator
                                                                                        56. MedicationAdministration.dosage.site.text
                                                                                        Must Supporttrue
                                                                                        Obligations
                                                                                          ObligationsActor
                                                                                          SHALL:handlePH Core Server
                                                                                          SHALL:handlePH Core Consumer
                                                                                          MAY:able-to-populatePH Core Creator
                                                                                          58. MedicationAdministration.dosage.route
                                                                                          Must Supporttrue
                                                                                          Obligations
                                                                                            ObligationsActor
                                                                                            SHALL:handlePH Core Server
                                                                                            SHALL:handlePH Core Consumer
                                                                                            MAY:able-to-populatePH Core Creator
                                                                                            60. MedicationAdministration.dosage.route.coding
                                                                                            Must Supporttrue
                                                                                            Obligations
                                                                                              ObligationsActor
                                                                                              SHALL:handlePH Core Server
                                                                                              SHALL:handlePH Core Consumer
                                                                                              MAY:able-to-populatePH Core Creator
                                                                                              62. MedicationAdministration.dosage.route.text
                                                                                              Must Supporttrue
                                                                                              Obligations
                                                                                                ObligationsActor
                                                                                                SHALL:handlePH Core Server
                                                                                                SHALL:handlePH Core Consumer
                                                                                                MAY:able-to-populatePH Core Creator
                                                                                                64. MedicationAdministration.dosage.method
                                                                                                Must Supporttrue
                                                                                                Obligations
                                                                                                  ObligationsActor
                                                                                                  SHALL:handlePH Core Server
                                                                                                  SHALL:handlePH Core Consumer
                                                                                                  MAY:able-to-populatePH Core Creator
                                                                                                  66. MedicationAdministration.dosage.method.coding
                                                                                                  Must Supporttrue
                                                                                                  Obligations
                                                                                                    ObligationsActor
                                                                                                    SHALL:handlePH Core Server
                                                                                                    SHALL:handlePH Core Consumer
                                                                                                    MAY:able-to-populatePH Core Creator
                                                                                                    68. MedicationAdministration.dosage.method.text
                                                                                                    Must Supporttrue
                                                                                                    Obligations
                                                                                                      ObligationsActor
                                                                                                      SHALL:handlePH Core Server
                                                                                                      SHALL:handlePH Core Consumer
                                                                                                      MAY:able-to-populatePH Core Creator

                                                                                                      Guidance on how to interpret the contents of this table can be foundhere

                                                                                                      0. MedicationAdministration
                                                                                                      Definition

                                                                                                      Describes the event of a patient consuming or otherwise being administered 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 practitioner.

                                                                                                      ShortAdministration of medication to a patient
                                                                                                      Control0..*
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsdom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources (contained.contained.empty())
                                                                                                      dom-3: 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: 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: If a resource is contained in another resource, it SHALL NOT have a security label (contained.meta.security.empty())
                                                                                                      dom-6: A resource should have narrative for robust management (text.`div`.exists())
                                                                                                      2. MedicationAdministration.id
                                                                                                      Definition

                                                                                                      The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes.

                                                                                                      ShortLogical id of this artifact
                                                                                                      Comments

                                                                                                      The only time that a resource does not have an id is when it is being submitted to the server using a create operation.

                                                                                                      Control0..1
                                                                                                      Typeid
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      4. MedicationAdministration.meta
                                                                                                      Definition

                                                                                                      The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.

                                                                                                      ShortMetadata about the resource
                                                                                                      Control0..1
                                                                                                      TypeMeta
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      6. MedicationAdministration.implicitRules
                                                                                                      Definition

                                                                                                      A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc.

                                                                                                      ShortA set of rules under which this content was created
                                                                                                      Comments

                                                                                                      Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.

                                                                                                      Control0..1
                                                                                                      Typeuri
                                                                                                      Is Modifiertrue because This element is labeled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it's meaning or interpretation
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      8. MedicationAdministration.language
                                                                                                      Definition

                                                                                                      The base language in which the resource is written.

                                                                                                      ShortLanguage of the resource content
                                                                                                      Comments

                                                                                                      Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute).

                                                                                                      Control0..1
                                                                                                      BindingThe codes SHOULD be taken from CommonLanguages
                                                                                                      (preferred to http://hl7.org/fhir/ValueSet/languages|4.0.1)

                                                                                                      A human language.

                                                                                                      Additional BindingsPurpose
                                                                                                      AllLanguagesMax Binding
                                                                                                      Typecode
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      10. MedicationAdministration.text
                                                                                                      Definition

                                                                                                      A human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety.

                                                                                                      ShortText summary of the resource, for human interpretation
                                                                                                      Comments

                                                                                                      Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.

                                                                                                      Control0..1
                                                                                                      TypeNarrative
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesnarrative, html, xhtml, display
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      12. MedicationAdministration.contained
                                                                                                      Definition

                                                                                                      These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope.

                                                                                                      ShortContained, inline Resources
                                                                                                      Comments

                                                                                                      This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.

                                                                                                      Control0..*
                                                                                                      TypeResource
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesinline resources, anonymous resources, contained resources
                                                                                                      14. MedicationAdministration.extension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the resource. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                      ShortAdditional content defined by implementations
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      16. MedicationAdministration.modifierExtension
                                                                                                      Definition

                                                                                                      May be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                      Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                      ShortExtensions that cannot be ignored
                                                                                                      Comments

                                                                                                      There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                      Control0..*
                                                                                                      TypeExtension
                                                                                                      Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the resource that contains them
                                                                                                      Summaryfalse
                                                                                                      Requirements

                                                                                                      Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                      Alternate Namesextensions, user content
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                      18. MedicationAdministration.identifier
                                                                                                      Definition

                                                                                                      Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server.

                                                                                                      ShortExternal identifier
                                                                                                      Comments

                                                                                                      This is a business identifier, not a resource identifier.

                                                                                                      NoteThis is a business identifier, not a resource identifier (see discussion)
                                                                                                      Control0..*
                                                                                                      TypeIdentifier
                                                                                                      Is Modifierfalse
                                                                                                      Summaryfalse
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      20. MedicationAdministration.instantiates
                                                                                                      Definition

                                                                                                      A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event.

                                                                                                      ShortInstantiates protocol or definition
                                                                                                      Control0..*
                                                                                                      Typeuri
                                                                                                      Is Modifierfalse
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      22. MedicationAdministration.partOf
                                                                                                      Definition

                                                                                                      A larger event of which this particular event is a component or step.

                                                                                                      ShortPart of referenced event
                                                                                                      Control0..*
                                                                                                      TypeReference(PH Core Medication Administration, PH Core Procedure)
                                                                                                      Is Modifierfalse
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      24. MedicationAdministration.status
                                                                                                      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.

                                                                                                      Shortin-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
                                                                                                      Comments

                                                                                                      This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.

                                                                                                      Control1..1
                                                                                                      BindingThe codes SHALL be taken from MedicationAdministration Status Codes
                                                                                                      (required to http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1)

                                                                                                      A set of codes indicating the current status of a MedicationAdministration.

                                                                                                      Typecode
                                                                                                      Is Modifiertrue because This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid
                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                      Summarytrue
                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                      26. MedicationAdministration.statusReason
                                                                                                      Definition

                                                                                                      A code indicating why the administration was not performed.

                                                                                                      ShortReason administration not performed
                                                                                                      Control0..*
                                                                                                      BindingFor example codes, see SNOMEDCTReasonMedicationNotGivenCodes
                                                                                                      (example to http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|4.0.1)

                                                                                                      A set of codes indicating the reason why the MedicationAdministration is negated.

                                                                                                      TypeCodeableConcept
                                                                                                      Is Modifierfalse
                                                                                                      Must Supporttrue
                                                                                                      Obligations
                                                                                                        ObligationsActor
                                                                                                        SHALL:handlePH Core Server
                                                                                                        SHALL:handlePH Core Consumer
                                                                                                        MAY:able-to-populatePH Core Creator
                                                                                                        Summaryfalse
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        28. MedicationAdministration.statusReason.id
                                                                                                        Definition

                                                                                                        Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                        ShortUnique id for inter-element referencing
                                                                                                        Control0..1
                                                                                                        Typestring
                                                                                                        Is Modifierfalse
                                                                                                        XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                        Summaryfalse
                                                                                                        30. MedicationAdministration.statusReason.extension
                                                                                                        Definition

                                                                                                        May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                        ShortAdditional content defined by implementations
                                                                                                        Comments

                                                                                                        There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                        Control0..*
                                                                                                        TypeExtension
                                                                                                        Is Modifierfalse
                                                                                                        Summaryfalse
                                                                                                        Alternate Namesextensions, user content
                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                        ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                        SlicingThis element introduces a set of slices on MedicationAdministration.statusReason.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                        • value @ url
                                                                                                        • 32. MedicationAdministration.statusReason.coding
                                                                                                          Definition

                                                                                                          A reference to a code defined by a terminology system.

                                                                                                          ShortCode defined by a terminology system
                                                                                                          Comments

                                                                                                          Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                          Control0..*
                                                                                                          TypeCoding
                                                                                                          Is Modifierfalse
                                                                                                          Must Supporttrue
                                                                                                          Obligations
                                                                                                            ObligationsActor
                                                                                                            SHALL:handlePH Core Server
                                                                                                            SHALL:handlePH Core Consumer
                                                                                                            MAY:able-to-populatePH Core Creator
                                                                                                            Summarytrue
                                                                                                            Requirements

                                                                                                            Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                            Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                            34. MedicationAdministration.statusReason.text
                                                                                                            Definition

                                                                                                            A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                            ShortPlain text representation of the concept
                                                                                                            Comments

                                                                                                            Very often the text is the same as a displayName of one of the codings.

                                                                                                            Control0..1
                                                                                                            Typestring
                                                                                                            Is Modifierfalse
                                                                                                            Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                            Must Supporttrue
                                                                                                            Obligations
                                                                                                              ObligationsActor
                                                                                                              SHALL:handlePH Core Server
                                                                                                              SHALL:handlePH Core Consumer
                                                                                                              MAY:able-to-populatePH Core Creator
                                                                                                              Summarytrue
                                                                                                              Requirements

                                                                                                              The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                              36. MedicationAdministration.category
                                                                                                              Definition

                                                                                                              Indicates where the medication is expected to be consumed or administered.

                                                                                                              ShortType of medication usage
                                                                                                              Control0..1
                                                                                                              BindingThe codes SHOULD be taken from MedicationAdministration Category Codes
                                                                                                              (preferred to http://hl7.org/fhir/ValueSet/medication-admin-category|4.0.1)

                                                                                                              A coded concept describing where the medication administered is expected to occur.

                                                                                                              TypeCodeableConcept
                                                                                                              Is Modifierfalse
                                                                                                              Must Supporttrue
                                                                                                              Obligations
                                                                                                                ObligationsActor
                                                                                                                SHALL:handlePH Core Server
                                                                                                                SHALL:handlePH Core Consumer
                                                                                                                MAY:able-to-populatePH Core Creator
                                                                                                                Summaryfalse
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                38. MedicationAdministration.category.id
                                                                                                                Definition

                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                Control0..1
                                                                                                                Typestring
                                                                                                                Is Modifierfalse
                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                Summaryfalse
                                                                                                                40. MedicationAdministration.category.extension
                                                                                                                Definition

                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                ShortAdditional content defined by implementations
                                                                                                                Comments

                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                Control0..*
                                                                                                                TypeExtension
                                                                                                                Is Modifierfalse
                                                                                                                Summaryfalse
                                                                                                                Alternate Namesextensions, user content
                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                SlicingThis element introduces a set of slices on MedicationAdministration.category.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                • value @ url
                                                                                                                • 42. MedicationAdministration.category.coding
                                                                                                                  Definition

                                                                                                                  A reference to a code defined by a terminology system.

                                                                                                                  ShortCode defined by a terminology system
                                                                                                                  Comments

                                                                                                                  Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                  Control0..*
                                                                                                                  TypeCoding
                                                                                                                  Is Modifierfalse
                                                                                                                  Must Supporttrue
                                                                                                                  Obligations
                                                                                                                    ObligationsActor
                                                                                                                    SHALL:handlePH Core Server
                                                                                                                    SHALL:handlePH Core Consumer
                                                                                                                    MAY:able-to-populatePH Core Creator
                                                                                                                    Summarytrue
                                                                                                                    Requirements

                                                                                                                    Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                    Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                    44. MedicationAdministration.category.text
                                                                                                                    Definition

                                                                                                                    A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                    ShortPlain text representation of the concept
                                                                                                                    Comments

                                                                                                                    Very often the text is the same as a displayName of one of the codings.

                                                                                                                    Control0..1
                                                                                                                    Typestring
                                                                                                                    Is Modifierfalse
                                                                                                                    Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                    Must Supporttrue
                                                                                                                    Obligations
                                                                                                                      ObligationsActor
                                                                                                                      SHALL:handlePH Core Server
                                                                                                                      SHALL:handlePH Core Consumer
                                                                                                                      MAY:able-to-populatePH Core Creator
                                                                                                                      Summarytrue
                                                                                                                      Requirements

                                                                                                                      The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      46. MedicationAdministration.medication[x]
                                                                                                                      Definition

                                                                                                                      Identifies the medication that was administered. 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.

                                                                                                                      ShortWhat was administered
                                                                                                                      Comments

                                                                                                                      If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                                                                      Control1..1
                                                                                                                      BindingFor example codes, see SNOMEDCTMedicationCodes
                                                                                                                      (example to http://hl7.org/fhir/ValueSet/medication-codes|4.0.1)

                                                                                                                      Codes identifying substance or product that can be administered.

                                                                                                                      TypeChoice of: CodeableConcept, Reference(Medication)
                                                                                                                      [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                      Is Modifierfalse
                                                                                                                      Summarytrue
                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                      SlicingThis element introduces a set of slices on MedicationAdministration.medication[x]. The slices areUnordered and Closed, and can be differentiated using the following discriminators:
                                                                                                                      • type @ $this
                                                                                                                      • 48. MedicationAdministration.medication[x]:medicationReference
                                                                                                                        Slice NamemedicationReference
                                                                                                                        Definition

                                                                                                                        Identifies the medication that was administered. 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.

                                                                                                                        ShortWhat was administered
                                                                                                                        Comments

                                                                                                                        If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                                                                        Control0..1
                                                                                                                        TypeReference(PH Core Medication)
                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                        Is Modifierfalse
                                                                                                                        Summarytrue
                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                        50. MedicationAdministration.medication[x]:medicationCodeableConcept
                                                                                                                        Slice NamemedicationCodeableConcept
                                                                                                                        Definition

                                                                                                                        Identifies the medication that was administered. 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.

                                                                                                                        ShortWhat was administered
                                                                                                                        Comments

                                                                                                                        If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.

                                                                                                                        Control0..1
                                                                                                                        BindingThe codes SHOULD be taken from Drugs
                                                                                                                        (preferred to http://doh.gov.ph/fhir/ph-core/ValueSet/drugs-vs)
                                                                                                                        TypeCodeableConcept
                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                        Is Modifierfalse
                                                                                                                        Must Supporttrue
                                                                                                                        Obligations
                                                                                                                          ObligationsActor
                                                                                                                          SHALL:handlePH Core Server
                                                                                                                          SHALL:handlePH Core Consumer
                                                                                                                          MAY:able-to-populatePH Core Creator
                                                                                                                          Summarytrue
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          52. MedicationAdministration.medication[x]:medicationCodeableConcept.id
                                                                                                                          Definition

                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                          Control0..1
                                                                                                                          Typestring
                                                                                                                          Is Modifierfalse
                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                          Summaryfalse
                                                                                                                          54. MedicationAdministration.medication[x]:medicationCodeableConcept.extension
                                                                                                                          Definition

                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                          Comments

                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                          Control0..*
                                                                                                                          TypeExtension
                                                                                                                          Is Modifierfalse
                                                                                                                          Summaryfalse
                                                                                                                          Alternate Namesextensions, user content
                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                          SlicingThis element introduces a set of slices on MedicationAdministration.medication[x].extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                          • value @ url
                                                                                                                          • 56. MedicationAdministration.medication[x]:medicationCodeableConcept.coding
                                                                                                                            Definition

                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                            ShortCode defined by a terminology system
                                                                                                                            Comments

                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                            Control0..*
                                                                                                                            TypeCoding
                                                                                                                            Is Modifierfalse
                                                                                                                            Must Supporttrue
                                                                                                                            Obligations
                                                                                                                              ObligationsActor
                                                                                                                              SHALL:handlePH Core Server
                                                                                                                              SHALL:handlePH Core Consumer
                                                                                                                              MAY:able-to-populatePH Core Creator
                                                                                                                              Summarytrue
                                                                                                                              Requirements

                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                              58. MedicationAdministration.medication[x]:medicationCodeableConcept.text
                                                                                                                              Definition

                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                              ShortPlain text representation of the concept
                                                                                                                              Comments

                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                              Control0..1
                                                                                                                              Typestring
                                                                                                                              Is Modifierfalse
                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                              Must Supporttrue
                                                                                                                              Obligations
                                                                                                                                ObligationsActor
                                                                                                                                SHALL:handlePH Core Server
                                                                                                                                SHALL:handlePH Core Consumer
                                                                                                                                MAY:able-to-populatePH Core Creator
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                60. MedicationAdministration.subject
                                                                                                                                Definition

                                                                                                                                The person or animal or group receiving the medication.

                                                                                                                                ShortWho received medication
                                                                                                                                Control1..1
                                                                                                                                TypeReference(PH Core Patient, Group)
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                62. MedicationAdministration.context
                                                                                                                                Definition

                                                                                                                                The visit, admission, or other contact between patient and health care provider during which the medication administration was performed.

                                                                                                                                ShortEncounter or Episode of Care administered as part of
                                                                                                                                Control0..1
                                                                                                                                TypeReference(PH Core Encounter, EpisodeOfCare)
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                64. MedicationAdministration.supportingInformation
                                                                                                                                Definition

                                                                                                                                Additional information (for example, patient height and weight) that supports the administration of the medication.

                                                                                                                                ShortAdditional information to support administration
                                                                                                                                Control0..*
                                                                                                                                TypeReference(Resource)
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                66. MedicationAdministration.effective[x]
                                                                                                                                Definition

                                                                                                                                A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.

                                                                                                                                ShortStart and end time of administration
                                                                                                                                Control1..1
                                                                                                                                TypeChoice of: dateTime, Period
                                                                                                                                [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                Is Modifierfalse
                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                68. MedicationAdministration.performer
                                                                                                                                Definition

                                                                                                                                Indicates who or what performed the medication administration and how they were involved.

                                                                                                                                ShortWho performed the medication administration and what they did
                                                                                                                                Control0..*
                                                                                                                                TypeBackboneElement
                                                                                                                                Is Modifierfalse
                                                                                                                                Summarytrue
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                70. MedicationAdministration.performer.id
                                                                                                                                Definition

                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                Control0..1
                                                                                                                                Typestring
                                                                                                                                Is Modifierfalse
                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                Summaryfalse
                                                                                                                                72. MedicationAdministration.performer.extension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifierfalse
                                                                                                                                Summaryfalse
                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                74. MedicationAdministration.performer.modifierExtension
                                                                                                                                Definition

                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                Comments

                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                Control0..*
                                                                                                                                TypeExtension
                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                Summarytrue
                                                                                                                                Requirements

                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                76. MedicationAdministration.performer.function
                                                                                                                                Definition

                                                                                                                                Distinguishes the type of involvement of the performer in the medication administration.

                                                                                                                                ShortType of performance
                                                                                                                                Control0..1
                                                                                                                                BindingFor example codes, see MedicationAdministration Performer Function Codes
                                                                                                                                (example to http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1)

                                                                                                                                A code describing the role an individual played in administering the medication.

                                                                                                                                TypeCodeableConcept
                                                                                                                                Is Modifierfalse
                                                                                                                                Must Supporttrue
                                                                                                                                Obligations
                                                                                                                                  ObligationsActor
                                                                                                                                  SHALL:handlePH Core Server
                                                                                                                                  SHALL:handlePH Core Consumer
                                                                                                                                  MAY:able-to-populatePH Core Creator
                                                                                                                                  Summaryfalse
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  78. MedicationAdministration.performer.function.id
                                                                                                                                  Definition

                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                  Control0..1
                                                                                                                                  Typestring
                                                                                                                                  Is Modifierfalse
                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                  Summaryfalse
                                                                                                                                  80. MedicationAdministration.performer.function.extension
                                                                                                                                  Definition

                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                  Comments

                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                  Control0..*
                                                                                                                                  TypeExtension
                                                                                                                                  Is Modifierfalse
                                                                                                                                  Summaryfalse
                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                  SlicingThis element introduces a set of slices on MedicationAdministration.performer.function.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                  • value @ url
                                                                                                                                  • 82. MedicationAdministration.performer.function.coding
                                                                                                                                    Definition

                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                    Comments

                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                    Control0..*
                                                                                                                                    TypeCoding
                                                                                                                                    Is Modifierfalse
                                                                                                                                    Must Supporttrue
                                                                                                                                    Obligations
                                                                                                                                      ObligationsActor
                                                                                                                                      SHALL:handlePH Core Server
                                                                                                                                      SHALL:handlePH Core Consumer
                                                                                                                                      MAY:able-to-populatePH Core Creator
                                                                                                                                      Summarytrue
                                                                                                                                      Requirements

                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                      84. MedicationAdministration.performer.function.text
                                                                                                                                      Definition

                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                      Comments

                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                      Control0..1
                                                                                                                                      Typestring
                                                                                                                                      Is Modifierfalse
                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                      Must Supporttrue
                                                                                                                                      Obligations
                                                                                                                                        ObligationsActor
                                                                                                                                        SHALL:handlePH Core Server
                                                                                                                                        SHALL:handlePH Core Consumer
                                                                                                                                        MAY:able-to-populatePH Core Creator
                                                                                                                                        Summarytrue
                                                                                                                                        Requirements

                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        86. MedicationAdministration.performer.actor
                                                                                                                                        Definition

                                                                                                                                        Indicates who or what performed the medication administration.

                                                                                                                                        ShortWho performed the medication administration
                                                                                                                                        Control1..1
                                                                                                                                        TypeReference(PH Core Practitioner, PH Core PractitionerRole, PH Core Patient, PH Core RelatedPerson, Device)
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Summarytrue
                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                        88. MedicationAdministration.reasonCode
                                                                                                                                        Definition

                                                                                                                                        A code indicating why the medication was given.

                                                                                                                                        ShortReason administration performed
                                                                                                                                        Control0..*
                                                                                                                                        BindingFor example codes, see ReasonMedicationGivenCodes
                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1)

                                                                                                                                        A set of codes indicating the reason why the MedicationAdministration was made.

                                                                                                                                        TypeCodeableConcept
                                                                                                                                        Is Modifierfalse
                                                                                                                                        Must Supporttrue
                                                                                                                                        Obligations
                                                                                                                                          ObligationsActor
                                                                                                                                          SHALL:handlePH Core Server
                                                                                                                                          SHALL:handlePH Core Consumer
                                                                                                                                          MAY:able-to-populatePH Core Creator
                                                                                                                                          Summaryfalse
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          90. MedicationAdministration.reasonCode.id
                                                                                                                                          Definition

                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                          Control0..1
                                                                                                                                          Typestring
                                                                                                                                          Is Modifierfalse
                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                          Summaryfalse
                                                                                                                                          92. MedicationAdministration.reasonCode.extension
                                                                                                                                          Definition

                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                          Comments

                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                          Control0..*
                                                                                                                                          TypeExtension
                                                                                                                                          Is Modifierfalse
                                                                                                                                          Summaryfalse
                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                          SlicingThis element introduces a set of slices on MedicationAdministration.reasonCode.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                          • value @ url
                                                                                                                                          • 94. MedicationAdministration.reasonCode.coding
                                                                                                                                            Definition

                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                            Comments

                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                            Control0..*
                                                                                                                                            TypeCoding
                                                                                                                                            Is Modifierfalse
                                                                                                                                            Must Supporttrue
                                                                                                                                            Obligations
                                                                                                                                              ObligationsActor
                                                                                                                                              SHALL:handlePH Core Server
                                                                                                                                              SHALL:handlePH Core Consumer
                                                                                                                                              MAY:able-to-populatePH Core Creator
                                                                                                                                              Summarytrue
                                                                                                                                              Requirements

                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                              96. MedicationAdministration.reasonCode.text
                                                                                                                                              Definition

                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                              Comments

                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                              Control0..1
                                                                                                                                              Typestring
                                                                                                                                              Is Modifierfalse
                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                              Must Supporttrue
                                                                                                                                              Obligations
                                                                                                                                                ObligationsActor
                                                                                                                                                SHALL:handlePH Core Server
                                                                                                                                                SHALL:handlePH Core Consumer
                                                                                                                                                MAY:able-to-populatePH Core Creator
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                98. MedicationAdministration.reasonReference
                                                                                                                                                Definition

                                                                                                                                                Condition or observation that supports why the medication was administered.

                                                                                                                                                ShortCondition or observation that supports why the medication was administered
                                                                                                                                                Comments

                                                                                                                                                This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode.

                                                                                                                                                Control0..*
                                                                                                                                                TypeReference(Condition, PH Core Observation, DiagnosticReport)
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                100. MedicationAdministration.request
                                                                                                                                                Definition

                                                                                                                                                The original request, instruction or authority to perform the administration.

                                                                                                                                                ShortRequest administration performed against
                                                                                                                                                Comments

                                                                                                                                                This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.

                                                                                                                                                Control0..1
                                                                                                                                                TypeReference(PH Core Medication Request)
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                102. MedicationAdministration.device
                                                                                                                                                Definition

                                                                                                                                                The device used in administering the medication to the patient. For example, a particular infusion pump.

                                                                                                                                                ShortDevice used to administer
                                                                                                                                                Control0..*
                                                                                                                                                TypeReference(Device)
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                104. MedicationAdministration.note
                                                                                                                                                Definition

                                                                                                                                                Extra information about the medication administration that is not conveyed by the other attributes.

                                                                                                                                                ShortInformation about the administration
                                                                                                                                                Control0..*
                                                                                                                                                TypeAnnotation
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                106. MedicationAdministration.dosage
                                                                                                                                                Definition

                                                                                                                                                Describes the medication dosage information details e.g. dose, rate, site, route, etc.

                                                                                                                                                ShortDetails of how medication was taken
                                                                                                                                                Control0..1
                                                                                                                                                TypeBackboneElement
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                mad-1: SHALL have at least one of dosage.dose or dosage.rate[x] (dose.exists() or rate.exists())
                                                                                                                                                108. MedicationAdministration.dosage.id
                                                                                                                                                Definition

                                                                                                                                                Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                ShortUnique id for inter-element referencing
                                                                                                                                                Control0..1
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                Summaryfalse
                                                                                                                                                110. MedicationAdministration.dosage.extension
                                                                                                                                                Definition

                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                ShortAdditional content defined by implementations
                                                                                                                                                Comments

                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                Control0..*
                                                                                                                                                TypeExtension
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Summaryfalse
                                                                                                                                                Alternate Namesextensions, user content
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                112. MedicationAdministration.dosage.modifierExtension
                                                                                                                                                Definition

                                                                                                                                                May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions.

                                                                                                                                                Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).

                                                                                                                                                ShortExtensions that cannot be ignored even if unrecognized
                                                                                                                                                Comments

                                                                                                                                                There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                Control0..*
                                                                                                                                                TypeExtension
                                                                                                                                                Is Modifiertrue because Modifier extensions are expected to modify the meaning or interpretation of the element that contains them
                                                                                                                                                Summarytrue
                                                                                                                                                Requirements

                                                                                                                                                Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.

                                                                                                                                                Alternate Namesextensions, user content, modifiers
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                114. MedicationAdministration.dosage.text
                                                                                                                                                Definition

                                                                                                                                                Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.

                                                                                                                                                The dosage instructions should reflect the dosage of the medication that was administered.

                                                                                                                                                ShortFree text dosage instructions e.g. SIG
                                                                                                                                                Control0..1
                                                                                                                                                Typestring
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                Summaryfalse
                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                116. MedicationAdministration.dosage.site
                                                                                                                                                Definition

                                                                                                                                                A coded specification of the anatomic site where the medication first entered the body. For example, "left arm".

                                                                                                                                                ShortBody site administered to
                                                                                                                                                Comments

                                                                                                                                                If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both.

                                                                                                                                                Control0..1
                                                                                                                                                BindingFor example codes, see SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1)

                                                                                                                                                A coded concept describing the site location the medicine enters into or onto the body.

                                                                                                                                                TypeCodeableConcept
                                                                                                                                                Is Modifierfalse
                                                                                                                                                Must Supporttrue
                                                                                                                                                Obligations
                                                                                                                                                  ObligationsActor
                                                                                                                                                  SHALL:handlePH Core Server
                                                                                                                                                  SHALL:handlePH Core Consumer
                                                                                                                                                  MAY:able-to-populatePH Core Creator
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  118. MedicationAdministration.dosage.site.id
                                                                                                                                                  Definition

                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                  Control0..1
                                                                                                                                                  Typestring
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                  Summaryfalse
                                                                                                                                                  120. MedicationAdministration.dosage.site.extension
                                                                                                                                                  Definition

                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                  Comments

                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                  Control0..*
                                                                                                                                                  TypeExtension
                                                                                                                                                  Is Modifierfalse
                                                                                                                                                  Summaryfalse
                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                  SlicingThis element introduces a set of slices on MedicationAdministration.dosage.site.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                  • value @ url
                                                                                                                                                  • 122. MedicationAdministration.dosage.site.coding
                                                                                                                                                    Definition

                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                    Comments

                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                    Control0..*
                                                                                                                                                    TypeCoding
                                                                                                                                                    Is Modifierfalse
                                                                                                                                                    Must Supporttrue
                                                                                                                                                    Obligations
                                                                                                                                                      ObligationsActor
                                                                                                                                                      SHALL:handlePH Core Server
                                                                                                                                                      SHALL:handlePH Core Consumer
                                                                                                                                                      MAY:able-to-populatePH Core Creator
                                                                                                                                                      Summarytrue
                                                                                                                                                      Requirements

                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                      124. MedicationAdministration.dosage.site.text
                                                                                                                                                      Definition

                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                      Comments

                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                      Control0..1
                                                                                                                                                      Typestring
                                                                                                                                                      Is Modifierfalse
                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                      Must Supporttrue
                                                                                                                                                      Obligations
                                                                                                                                                        ObligationsActor
                                                                                                                                                        SHALL:handlePH Core Server
                                                                                                                                                        SHALL:handlePH Core Consumer
                                                                                                                                                        MAY:able-to-populatePH Core Creator
                                                                                                                                                        Summarytrue
                                                                                                                                                        Requirements

                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                        126. MedicationAdministration.dosage.route
                                                                                                                                                        Definition

                                                                                                                                                        A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc.

                                                                                                                                                        ShortPath of substance into body
                                                                                                                                                        Control0..1
                                                                                                                                                        BindingFor example codes, see SNOMEDCTRouteCodes
                                                                                                                                                        (example to http://hl7.org/fhir/ValueSet/route-codes|4.0.1)

                                                                                                                                                        A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.

                                                                                                                                                        TypeCodeableConcept
                                                                                                                                                        Is Modifierfalse
                                                                                                                                                        Must Supporttrue
                                                                                                                                                        Obligations
                                                                                                                                                          ObligationsActor
                                                                                                                                                          SHALL:handlePH Core Server
                                                                                                                                                          SHALL:handlePH Core Consumer
                                                                                                                                                          MAY:able-to-populatePH Core Creator
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          128. MedicationAdministration.dosage.route.id
                                                                                                                                                          Definition

                                                                                                                                                          Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                          ShortUnique id for inter-element referencing
                                                                                                                                                          Control0..1
                                                                                                                                                          Typestring
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                          Summaryfalse
                                                                                                                                                          130. MedicationAdministration.dosage.route.extension
                                                                                                                                                          Definition

                                                                                                                                                          May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                          ShortAdditional content defined by implementations
                                                                                                                                                          Comments

                                                                                                                                                          There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                          Control0..*
                                                                                                                                                          TypeExtension
                                                                                                                                                          Is Modifierfalse
                                                                                                                                                          Summaryfalse
                                                                                                                                                          Alternate Namesextensions, user content
                                                                                                                                                          Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                          ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                          SlicingThis element introduces a set of slices on MedicationAdministration.dosage.route.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                          • value @ url
                                                                                                                                                          • 132. MedicationAdministration.dosage.route.coding
                                                                                                                                                            Definition

                                                                                                                                                            A reference to a code defined by a terminology system.

                                                                                                                                                            ShortCode defined by a terminology system
                                                                                                                                                            Comments

                                                                                                                                                            Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                            Control0..*
                                                                                                                                                            TypeCoding
                                                                                                                                                            Is Modifierfalse
                                                                                                                                                            Must Supporttrue
                                                                                                                                                            Obligations
                                                                                                                                                              ObligationsActor
                                                                                                                                                              SHALL:handlePH Core Server
                                                                                                                                                              SHALL:handlePH Core Consumer
                                                                                                                                                              MAY:able-to-populatePH Core Creator
                                                                                                                                                              Summarytrue
                                                                                                                                                              Requirements

                                                                                                                                                              Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                              Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                              134. MedicationAdministration.dosage.route.text
                                                                                                                                                              Definition

                                                                                                                                                              A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                              ShortPlain text representation of the concept
                                                                                                                                                              Comments

                                                                                                                                                              Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                              Control0..1
                                                                                                                                                              Typestring
                                                                                                                                                              Is Modifierfalse
                                                                                                                                                              Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                              Must Supporttrue
                                                                                                                                                              Obligations
                                                                                                                                                                ObligationsActor
                                                                                                                                                                SHALL:handlePH Core Server
                                                                                                                                                                SHALL:handlePH Core Consumer
                                                                                                                                                                MAY:able-to-populatePH Core Creator
                                                                                                                                                                Summarytrue
                                                                                                                                                                Requirements

                                                                                                                                                                The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                136. MedicationAdministration.dosage.method
                                                                                                                                                                Definition

                                                                                                                                                                A coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV.

                                                                                                                                                                ShortHow drug was administered
                                                                                                                                                                Comments

                                                                                                                                                                One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently.

                                                                                                                                                                Control0..1
                                                                                                                                                                BindingFor example codes, see SNOMEDCTAdministrationMethodCodes
                                                                                                                                                                (example to http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1)

                                                                                                                                                                A coded concept describing the technique by which the medicine is administered.

                                                                                                                                                                TypeCodeableConcept
                                                                                                                                                                Is Modifierfalse
                                                                                                                                                                Must Supporttrue
                                                                                                                                                                Obligations
                                                                                                                                                                  ObligationsActor
                                                                                                                                                                  SHALL:handlePH Core Server
                                                                                                                                                                  SHALL:handlePH Core Consumer
                                                                                                                                                                  MAY:able-to-populatePH Core Creator
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  138. MedicationAdministration.dosage.method.id
                                                                                                                                                                  Definition

                                                                                                                                                                  Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

                                                                                                                                                                  ShortUnique id for inter-element referencing
                                                                                                                                                                  Control0..1
                                                                                                                                                                  Typestring
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  XML FormatIn the XML format, this property is represented as an attribute.
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  140. MedicationAdministration.dosage.method.extension
                                                                                                                                                                  Definition

                                                                                                                                                                  May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.

                                                                                                                                                                  ShortAdditional content defined by implementations
                                                                                                                                                                  Comments

                                                                                                                                                                  There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.

                                                                                                                                                                  Control0..*
                                                                                                                                                                  TypeExtension
                                                                                                                                                                  Is Modifierfalse
                                                                                                                                                                  Summaryfalse
                                                                                                                                                                  Alternate Namesextensions, user content
                                                                                                                                                                  Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                  ext-1: Must have either extensions or value[x], not both (extension.exists() != value.exists())
                                                                                                                                                                  SlicingThis element introduces a set of slices on MedicationAdministration.dosage.method.extension. The slices areUnordered and Open, and can be differentiated using the following discriminators:
                                                                                                                                                                  • value @ url
                                                                                                                                                                  • 142. MedicationAdministration.dosage.method.coding
                                                                                                                                                                    Definition

                                                                                                                                                                    A reference to a code defined by a terminology system.

                                                                                                                                                                    ShortCode defined by a terminology system
                                                                                                                                                                    Comments

                                                                                                                                                                    Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.

                                                                                                                                                                    Control0..*
                                                                                                                                                                    TypeCoding
                                                                                                                                                                    Is Modifierfalse
                                                                                                                                                                    Must Supporttrue
                                                                                                                                                                    Obligations
                                                                                                                                                                      ObligationsActor
                                                                                                                                                                      SHALL:handlePH Core Server
                                                                                                                                                                      SHALL:handlePH Core Consumer
                                                                                                                                                                      MAY:able-to-populatePH Core Creator
                                                                                                                                                                      Summarytrue
                                                                                                                                                                      Requirements

                                                                                                                                                                      Allows for alternative encodings within a code system, and translations to other code systems.

                                                                                                                                                                      Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                      144. MedicationAdministration.dosage.method.text
                                                                                                                                                                      Definition

                                                                                                                                                                      A human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user.

                                                                                                                                                                      ShortPlain text representation of the concept
                                                                                                                                                                      Comments

                                                                                                                                                                      Very often the text is the same as a displayName of one of the codings.

                                                                                                                                                                      Control0..1
                                                                                                                                                                      Typestring
                                                                                                                                                                      Is Modifierfalse
                                                                                                                                                                      Primitive ValueThis primitive element may be present, or absent, or replaced by an extension
                                                                                                                                                                      Must Supporttrue
                                                                                                                                                                      Obligations
                                                                                                                                                                        ObligationsActor
                                                                                                                                                                        SHALL:handlePH Core Server
                                                                                                                                                                        SHALL:handlePH Core Consumer
                                                                                                                                                                        MAY:able-to-populatePH Core Creator
                                                                                                                                                                        Summarytrue
                                                                                                                                                                        Requirements

                                                                                                                                                                        The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source.

                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        146. MedicationAdministration.dosage.dose
                                                                                                                                                                        Definition

                                                                                                                                                                        The amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection.

                                                                                                                                                                        ShortAmount of medication per dose
                                                                                                                                                                        Comments

                                                                                                                                                                        If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        TypeQuantity(SimpleQuantity)
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        148. MedicationAdministration.dosage.rate[x]
                                                                                                                                                                        Definition

                                                                                                                                                                        Identifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours.

                                                                                                                                                                        ShortDose quantity per unit of time
                                                                                                                                                                        Comments

                                                                                                                                                                        If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.

                                                                                                                                                                        Control0..1
                                                                                                                                                                        TypeChoice of: Ratio, Quantity(SimpleQuantity)
                                                                                                                                                                        [x] NoteSeeChoice of Data Typesfor further information about how to use [x]
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))
                                                                                                                                                                        150. MedicationAdministration.eventHistory
                                                                                                                                                                        Definition

                                                                                                                                                                        A summary of the events of interest that have occurred, such as when the administration was verified.

                                                                                                                                                                        ShortA list of events of interest in the lifecycle
                                                                                                                                                                        Comments

                                                                                                                                                                        This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.

                                                                                                                                                                        Control0..*
                                                                                                                                                                        TypeReference(Provenance)
                                                                                                                                                                        Is Modifierfalse
                                                                                                                                                                        Summaryfalse
                                                                                                                                                                        Invariantsele-1: All FHIR elements must have a @value or children (hasValue() or (children().count() > id.count()))