Draft PH Core Implementation Guide
0.2.0 - ci-build
Draft PH Core Implementation Guide
0.2.0 - ci-build
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
| Official URL: http://doh.gov.ph/fhir/ph-core/StructureDefinition/ph-core-medicationadministration | Version: 0.2.0 | |||
| Draft as of 2026-04-10 | Computable Name: PHCoreMedicationAdministration | |||
Captures key FHIR Medication Administration data for the Philippine context.
Usages:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
  implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
 modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
 partOf |
Σ | 0..* | Reference(PH Core Medication Administration | PH Core Procedure) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||||||
  statusReason |
SO | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
| ||||||||
 coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
 text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
SO | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
 Slices for medication[x] |
Σ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||||||
 medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
 medication[x]:medicationReference |
Σ | 0..1 | Reference(PH Core Medication) | What was administered | ||||||||
 medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | What was administered Binding: Drugs (preferred)
| ||||||||
  coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
 text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
Σ | 1..1 | Reference(PH Core Patient | Group) | Who received medication | ||||||||
| context |
0..1 | Reference(PH Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
 effective[x] |
Σ | 1..1 | Start and end time of administration | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| function |
SO | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| actor |
Σ | 1..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson | Device) | Who performed the medication administration | ||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
0..* | Reference(Condition | PH Core Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(PH Core Medication Request) | Request administration performed against | |||||||||
 dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| site |
SO | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| route |
SO | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| method |
SO | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
This structure is derived from MedicationAdministration
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
 extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
0..* | Identifier | External identifier | |||||||||
| instantiates |
Σ | 0..* | uri | Instantiates protocol or definition | ||||||||
| partOf |
Σ | 0..* | Reference(PH Core Medication Administration | PH Core Procedure) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||||||
| statusReason |
SO | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
SO | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for medication[x] |
Σ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
Σ | 0..1 | Reference(PH Core Medication) | What was administered | ||||||||
| medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | What was administered Binding: Drugs (preferred)
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
Σ | 1..1 | Reference(PH Core Patient | Group) | Who received medication | ||||||||
| context |
0..1 | Reference(PH Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||||||
| effective[x] |
Σ | 1..1 | Start and end time of administration | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| function |
SO | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| actor |
Σ | 1..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson | Device) | Who performed the medication administration | ||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
0..* | Reference(Condition | PH Core Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(PH Core Medication Request) | Request administration performed against | |||||||||
| device |
0..* | Reference(Device) | Device used to administer | |||||||||
| note |
0..* | Annotation | Information about the administration | |||||||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| site |
SO | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| route |
SO | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| method |
SO | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| dose |
0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose | |||||||||
| rate[x] |
0..1 | Dose quantity per unit of time | ||||||||||
| rateRatio |
Ratio | |||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
This structure is derived from MedicationAdministration
Summary
Must-Support: 24 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| partOf |
Σ | 0..* | Reference(PH Core Medication Administration | PH Core Procedure) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||||||
| statusReason |
SO | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
SO | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for medication[x] |
Σ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
Σ | 0..1 | Reference(PH Core Medication) | What was administered | ||||||||
| medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | What was administered Binding: Drugs (preferred)
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
Σ | 1..1 | Reference(PH Core Patient | Group) | Who received medication | ||||||||
| context |
0..1 | Reference(PH Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| effective[x] |
Σ | 1..1 | Start and end time of administration | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| function |
SO | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| actor |
Σ | 1..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson | Device) | Who performed the medication administration | ||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
0..* | Reference(Condition | PH Core Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(PH Core Medication Request) | Request administration performed against | |||||||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| site |
SO | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| route |
SO | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| method |
SO | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
| ||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| partOf |
0..* | Reference(PH Core Medication Administration | PH Core Procedure) | Part of referenced event | |||||||||
 statusReason |
SO | 0..* | CodeableConcept | Reason administration not performed
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
SO | 0..1 | CodeableConcept | Type of medication usage
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(PH Core Medication) | What was administered | |||||||||
| medication[x]:medicationCodeableConcept |
SO | 0..1 | CodeableConcept | What was administered Binding: Drugs (preferred)
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
1..1 | Reference(PH Core Patient | Group) | Who received medication | |||||||||
| context |
0..1 | Reference(PH Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| performer |
||||||||||||
| function |
SO | 0..1 | CodeableConcept | Type of performance
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| actor |
1..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson | Device) | Who performed the medication administration | |||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason administration performed
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
0..* | Reference(Condition | PH Core Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(PH Core Medication Request) | Request administration performed against | |||||||||
| dosage |
||||||||||||
| site |
SO | 0..1 | CodeableConcept | Body site administered to
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| route |
SO | 0..1 | CodeableConcept | Path of substance into body
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| method |
SO | 0..1 | CodeableConcept | How drug was administered
| ||||||||
| coding |
SO | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SO | 0..1 | string | Plain text representation of the concept
| ||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| id |
Σ | 0..1 | id | Logical id of this artifact | ||||||||
| meta |
Σ | 0..1 | Meta | Metadata about the resource | ||||||||
| implicitRules |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||||||
| language |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||||||
| contained |
0..* | Resource | Contained, inline Resources | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||||||
| identifier |
0..* | Identifier | External identifier | |||||||||
| instantiates |
Σ | 0..* | uri | Instantiates protocol or definition | ||||||||
| partOf |
Σ | 0..* | Reference(PH Core Medication Administration | PH Core Procedure) | Part of referenced event | ||||||||
| status |
?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||||||
| statusReason |
SO | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| category |
SO | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| Slices for medication[x] |
Σ | 1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. | |||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
Σ | 0..1 | Reference(PH Core Medication) | What was administered | ||||||||
| medication[x]:medicationCodeableConcept |
SOΣ | 0..1 | CodeableConcept | What was administered Binding: Drugs (preferred)
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| subject |
Σ | 1..1 | Reference(PH Core Patient | Group) | Who received medication | ||||||||
| context |
0..1 | Reference(PH Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||||||
| effective[x] |
Σ | 1..1 | Start and end time of administration | |||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| function |
SO | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| actor |
Σ | 1..1 | Reference(PH Core Practitioner | PH Core PractitionerRole | PH Core Patient | PH Core RelatedPerson | Device) | Who performed the medication administration | ||||||||
| reasonCode |
SO | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| reasonReference |
0..* | Reference(Condition | PH Core Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(PH Core Medication Request) | Request administration performed against | |||||||||
| device |
0..* | Reference(Device) | Device used to administer | |||||||||
| note |
0..* | Annotation | Information about the administration | |||||||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1 | ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| site |
SO | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| route |
SO | 0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| method |
SO | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url | |||||||||
| coding |
SOΣ | 0..* | Coding | Code defined by a terminology system
| ||||||||
| text |
SOΣ | 0..1 | string | Plain text representation of the concept
| ||||||||
| dose |
0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose | |||||||||
| rate[x] |
0..1 | Dose quantity per unit of time | ||||||||||
| rateRatio |
Ratio | |||||||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||||||
| Documentation for this format | ||||||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | Medication administration status codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | example | SNOMED CT Medication Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Drugs | 📦0.2.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
This structure is derived from MedicationAdministration
Summary
Must-Support: 24 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron