StructureDefinition
for
medicationadministration
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MedicationAdministration : 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.
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padding:0px 4px 0px 4pxAdministration of medication to a patient
Elements defined in Ancestors:
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.,
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.,
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.,
,
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.,
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.,
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.,
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).
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MedicationAdministration.identifier : 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.
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solid; padding:0px 4px 0px 4pxExternal identifier
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MedicationAdministration.instantiates : A protocol, guideline, orderset, or other definition
that was adhered to in whole or in part by this event.
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padding:0px 4px 0px 4pxInstantiates protocol or definition
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MedicationAdministration.partOf : A larger event of which this particular event is a component
or step.
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(
|
)
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solid; padding:0px 4px 0px 4pxPart of referenced event
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MedicationAdministration.status : 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.
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padding:0px 4px 0px 4pxin-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
(
)
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MedicationAdministration.statusReason : A code indicating why the administration was not
performed.
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(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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MedicationAdministration.category : Indicates where the medication is expected to be consumed
or administered.
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padding:0px 4px 0px 4pxType of medication usage
(
Instances are encouraged to draw from the specified codes for interoperability purposes
but are not required to do so to be considered conformant.)
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MedicationAdministration.medication[x] : 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.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4pxWhat was administered
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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A concept that may be defined by a formal reference to a terminology or ontology or may
be provided by text.
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solid; padding:0px 4px 0px 4px
(
)
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solid; padding:0px 4px 0px 4px
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(
|
)
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MedicationAdministration.context : The visit, admission, or other contact between patient
and health care provider during which the medication administration was performed.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
(
|
)
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MedicationAdministration.supportingInformation : Additional information (for example,
patient height and weight) that supports the administration of the medication.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
)
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padding:0px 4px 0px 4pxAdditional information to support administration
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MedicationAdministration.effective[x] : 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.
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A date, date-time or partial date (e.g. just year or year + month). If hours and minutes
are specified, a time zone SHALL be populated. The format is a union of the schema types
gYear, gYearMonth, date and dateTime. Seconds must be provided due to schema type constraints
but may be zero-filled and may be ignored. Dates SHALL be valid dates.
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MedicationAdministration.performer : Indicates who or what performed the medication administration
and how they were involved.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxWho performed the medication administration and what they did
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MedicationAdministration.performer.function : Distinguishes the type of involvement of
the performer in the medication administration.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxType of performance
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;base64,iVBORw0KGg
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MedicationAdministration.performer.actor : Indicates who or what performed the medication
administration.
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
(
|
|
|
|
)
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padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxReason administration performed
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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MedicationAdministration.reasonReference : Condition or observation that supports why
the medication was administered.
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padding:0px 4px 0px 4px
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(
|
|
)
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padding:0px 4px 0px 4pxCondition or observation that supports why the medication was administered
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MedicationAdministration.request : The original request, instruction or authority to perform
the administration.
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(
)
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solid; padding:0px 4px 0px 4px
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MedicationAdministration.device : The device used in administering the medication to the
patient. For example, a particular infusion pump.
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padding:0px 4px 0px 4px
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(
)
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padding:0px 4px 0px 4pxDevice used to administer
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MedicationAdministration.note : Extra information about the medication administration
that is not conveyed by the other attributes.
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxInformation about the administration
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MedicationAdministration.dosage : Describes the medication dosage information details
e.g. dose, rate, site, route, etc.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4pxDetails of how medication was taken
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MedicationAdministration.dosage.text : 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.
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MedicationAdministration.dosage.site : A coded specification of the anatomic site where
the medication first entered the body. For example, "left arm".
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxBody site administered to
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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MedicationAdministration.dosage.route : A code specifying the route or physiological path
of administration of a therapeutic agent into or onto the patient. For example, topical,
intravenous, etc.
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vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxPath of substance into body
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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MedicationAdministration.dosage.method : 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.
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4pxHow drug was administered
(
Instances are not expected or even encouraged to draw from the specified value set. The
value set merely provides examples of the types of concepts intended to be included.)
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MedicationAdministration.dosage.dose : 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.
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MedicationAdministration.dosage.rate[x] : 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.
vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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solid; padding:0px 4px 0px 4px
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MedicationAdministration.eventHistory : A summary of the events of interest that have
occurred, such as when the administration was verified.
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solid; padding:0px 4px 0px 4px
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(
)
vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4pxA list of events of interest in the lifecycle
Documentation for this format
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.
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.
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.exists() and ('#'+id in (%resource.descendants().reference | %resource.descenda
nts().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(uri) = '#').exists()).not()).trace('unmatched',
id).empty()
not(exists(for $contained in f:contained return $contained[not(exists(parent::*/descendant::f:refere
nce/@value=concat('#', $contained/*/f:id/@value)) or exists(descendant::f:reference[@value='#']))]))
If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
a meta.lastUpdated
When a resource has no narrative, only systems that fully understand the data can display
the resource to a human safely. Including a human readable representation in the resource
makes for a much more robust eco-system and cheaper handling of resources by intermediary
systems. Some ecosystems restrict distribution of resources to only those systems that
do fully understand the resources, and as a consequence implementers may believe that
the narrative is superfluous. However experience shows that such eco-systems often open
up to new participants over time.
The logical id of the resource, as used in the URL for the resource. Once assigned, this
value never changes.
The only time that a resource does not have an id is when it is being submitted to the
server using a create operation.
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.
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.
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.
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
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).
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.
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.
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.
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.
Containing new R4B resources within R4 resources may cause interoperability issues if
instances are shared with R4 systems
($this is Citation or $this is Evidence or $this is EvidenceReport or $this is EvidenceVariable
or $this is MedicinalProductDefinition or $this is PackagedProductDefinition or $this
is AdministrableProductDefinition or $this is Ingredient or $this is ClinicalUseDefinition
or $this is RegulatedAuthorization or $this is SubstanceDefinition or $this is SubscriptionStatus
or $this is SubscriptionTopic) implies (%resource is Citation or %resource is Evidence
or %resource is EvidenceReport or %resource is EvidenceVariable or %resource is MedicinalProductDefi
nition or %resource is PackagedProductDefinition or %resource is AdministrableProductDefinition
or %resource is Ingredient or %resource is ClinicalUseDefinition or %resource is RegulatedAuthorizat
ion or %resource is SubstanceDefinition or %resource is SubscriptionStatus or %resource
is SubscriptionTopic)
not(f:Citation|f:Evidence|f:EvidenceReport|f:EvidenceVariable|f:MedicinalProductDefinition|f:Package
dProductDefinition|f:AdministrableProductDefinition|f:Ingredient|f:ClinicalUseDefinition|f:RegulatedA
uthorization|f:SubstanceDefinition|f:SubscriptionStatus|f:SubscriptionTopic) or not(parent::f:Citatio
n|parent::f:Evidence|parent::f:EvidenceReport|parent::f:EvidenceVariable|parent::f:MedicinalProductDe
finition|parent::f:PackagedProductDefinition|parent::f:AdministrableProductDefinition|parent::f:Ingre
dient|parent::f:ClinicalUseDefinition|parent::f:RegulatedAuthorization|parent::f:SubstanceDefinition|
f:SubscriptionStatus|f:SubscriptionTopic)
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the resource
that contains them
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.
A protocol, guideline, orderset, or other definition that was adhered to in whole or in
part by this event.
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.
This element is labeled as a modifier because the status contains codes that mark the
resource as not currently valid.
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
.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
not given"].value
.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type
of medication usage"].value
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.
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.
The visit, admission, or other contact between patient and health care provider during
which the medication administration was performed.
.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type
of encounter or episode"]
Additional information (for example, patient height and weight) that supports the administration
of the medication.
.outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal
with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of
the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS,
RQO, PRP, APT, ARQ, GOL)]
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.
RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10
is deprecated)
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
This is a reference to a condition that is the reason for the medication request. If
only a code exists, use reasonCode.
.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
for use ASSERTION"].value
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.
The device used in administering the medication to the patient. For example, a particular
infusion pump.
Extra information about the medication administration that is not conveyed by the other
attributes.
.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].v
alue
Unique id for the element within a resource (for internal references). This may be any
string value that does not contain spaces.
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.
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.
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).
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.
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](extensibility.ht
ml#modifierExtension).
Modifier extensions are expected to modify the meaning or interpretation of the element
that contains them
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.
A coded specification of the anatomic site where the medication first entered the body.
For example, "left arm".
If the use case requires attributes from the BodySite resource (e.g. to identify and track
separately) then use the standard extension [bodySite](extension-bodysite.html). May
be a summary code, or a reference to a very precise definition of the location, or both.
A code specifying the route or physiological path of administration of a therapeutic agent
into or onto the patient. For example, topical, intravenous, etc.
A coded concept describing the route or physiological path of administration of a therapeutic
agent into or onto the body of a subject.
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.
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.
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.
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.
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.
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.
A summary of the events of interest that have occurred, such as when the administration
was verified.
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.
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.
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.
A protocol, guideline, orderset, or other definition that was adhered to in whole or in
part by this event.
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.
This element is labeled as a modifier because the status contains codes that mark the
resource as not currently valid.
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
.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
not given"].value
.inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type
of medication usage"].value
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.
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.
The visit, admission, or other contact between patient and health care provider during
which the medication administration was performed.
.inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type
of encounter or episode"]
Additional information (for example, patient height and weight) that supports the administration
of the medication.
.outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal
with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of
the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS,
RQO, PRP, APT, ARQ, GOL)]
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.
RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10
is deprecated)
This is a reference to a condition that is the reason for the medication request. If
only a code exists, use reasonCode.
.outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
for use ASSERTION"].value
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.
The device used in administering the medication to the patient. For example, a particular
infusion pump.
Extra information about the medication administration that is not conveyed by the other
attributes.
.inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation"].v
alue
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.
A coded specification of the anatomic site where the medication first entered the body.
For example, "left arm".
If the use case requires attributes from the BodySite resource (e.g. to identify and track
separately) then use the standard extension [bodySite](extension-bodysite.html). May
be a summary code, or a reference to a very precise definition of the location, or both.
A code specifying the route or physiological path of administration of a therapeutic agent
into or onto the patient. For example, topical, intravenous, etc.
A coded concept describing the route or physiological path of administration of a therapeutic
agent into or onto the body of a subject.
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.
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.
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.
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.
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.
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.
A summary of the events of interest that have occurred, such as when the administration
was verified.
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.
<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir"> <id value="MedicationAdministration"/> <meta> <lastUpdated value="2023-03-01T23:03:57.298+11:00"/> </meta> <text> <status value="generated"/> <div xmlns="http://www.w3.org/1999/xhtml"> <table border="0" cellpadding="0" cellspacing="0" style="border: 0px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
top;">
<tr style="border: 1px #F0F0F0 solid; font-size: 11px; font-family: verdana; vertical-align:
top">
<th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="The logical name of the element">Name</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Information about the use of the element">Flags</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Minimum and Maximum # of times the the element can appear in the instance">Card.</a> </th> <th class="hierarchy" style="width: 100px"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Reference to the type of the element">Type</a> </th> <th class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Additional information about the element">Description & Constraints</a> <span style="float: right"> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="help16.png" style="background-color: inherit"/> </a> </span> </th> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="MedicationAdministration : 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.">MedicationAdministration</span>
<a name="MedicationAdministration"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="versions.html#std-process" style="padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold;
color: black; background-color: #fff5e6" title="Standards Status = Trial Use">TU</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="domainresource.html">DomainResource</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Administration of medication to a patient
<br/> <br/> Elements defined in Ancestors: <a href="resource.html#Resource" title="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes.">id</a> ,
<a href="resource.html#Resource" title="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.">meta</a> ,
<a href="resource.html#Resource" title="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.">implicitRules</a> ,
<a href="resource.html#Resource" title="The base language in which the resource is written.">language</a> , <a href="domainresource.html#DomainResource" title="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.">text</a> ,
<a href="domainresource.html#DomainResource" title="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning.">contained</a> ,
<a href="domainresource.html#DomainResource" title="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 managable, 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.">extension</a> ,
<a href="domainresource.html#DomainResource" title="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 managable, 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).">modifierExtension</a>
</td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.identifier : 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.">identifier</span>
<a name="MedicationAdministration.identifier"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Identifier">Identifier</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">External identifier
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
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<span title="MedicationAdministration.basedOn : A plan that is fulfilled in whole or in part
by this MedicationAdministration.">basedOn</span>
<a name="MedicationAdministration.basedOn"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="careplan.html">CarePlan</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Plan this is fulfilled by this administration
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
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<span title="MedicationAdministration.partOf : A larger event of which this particular event
is a component or step.">partOf</span>
<a name="MedicationAdministration.partOf"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="medicationadministration.html">MedicationAdministration</a> | <a href="procedure.html">Procedure</a> | <a href="medicationdispense.html">MedicationDispense</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Part of referenced event
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="MedicationAdministration.status : 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.">status</span>
<a name="MedicationAdministration.status"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#isModifier" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is a modifier element">?!</a> <a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#code">code</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
<br/> Binding: <a href="valueset-medication-admin-status.html">MedicationAdministration Status Codes</a> ( <a href="terminologies.html#required" title="To be conformant, the concept in this element SHALL be from the specified value
set.">Required</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="MedicationAdministration.statusReason : A code indicating why the administration
was not performed.">statusReason</span>
<a name="MedicationAdministration.statusReason"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Reason administration not performed
<br/> Binding: <a href="valueset-reason-medication-not-given-codes.html">SNOMED CT Reason Medication Not Given Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: white; background-color: inherit" title="Data Type"/>
<span title="MedicationAdministration.category : The type of medication administration (for
example, drug classification like ATC, where meds would be administered, legal
category of the medication).">category</span>
<a name="MedicationAdministration.category"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Type of medication administration
<br/> Binding: <a href="valueset-medication-admin-location.html">MedicationAdministration Location Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>
<span title="MedicationAdministration.medication : 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.">medication</span>
<a name="MedicationAdministration.medication"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#CodeableReference">CodeableReference</a> ( <a href="medication.html">Medication</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">What was administered
<br/> Binding: <a href="valueset-medication-codes.html">SNOMED CT Medication Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>
<span title="MedicationAdministration.subject : The person or animal or group receiving the
medication.">subject</span>
<a name="MedicationAdministration.subject"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="patient.html">Patient</a> | <a href="group.html">Group</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Who received medication
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
BAACxjwv8YQUAAAAJcEhZcwAADsMAAA7DAcdvqGQAAAAadEVYdFNvZnR3YXJlAFBhaW50Lk5FVCB2My41LjEwMPRyoQAAA
FxJREFUOE/NjEEOACEIA/0o/38GGw+agoXYeNnDJDCUDnd/gkoFKhWozJiZI3gLwY6rAgxhsPKTPUzycTl8lAryMyMsVQG
6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: #F7F7F7; background-color: inherit" title="Reference to another Resource"/>
<span title="MedicationAdministration.encounter : The visit, admission, or other contact between
patient and health care provider during which the medication administration was
performed.">encounter</span>
<a name="MedicationAdministration.encounter"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="encounter.html">Encounter</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Encounter administered as part of
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="MedicationAdministration.supportingInformation : Additional information (for example,
patient height and weight) that supports the administration of the medication.
This attribute can be used to provide documentation of specific characteristics
of the patient present at the time of administration. For example, if the dose
says "give "x" if the heartrate exceeds "y"", then
the heart rate can be included using this attribute.">supportingInformation</span>
<a name="MedicationAdministration.supportingInformation"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="resourcelist.html">Any</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Additional information to support administration
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<span title="MedicationAdministration.occurence[x] : A specific date/time or interval of time
during which the administration took place (or did not take place). For many administrations,
such as swallowing a tablet the use of dateTime is more appropriate.">occurence[x]</span>
<a name="MedicationAdministration.occurence_x_"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Specific date/time or interval of time during which the administration took place
(or did not take place)
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<span title="A date, date-time or partial date (e.g. just year or year + month). If hours and
minutes are specified, a UTC offset SHALL be populated. The format is a union of
the schema types gYear, gYearMonth, date and dateTime. Seconds must be provided
due to schema type constraints but may be zero-filled and may be ignored.
Dates SHALL be valid dates.">occurenceDateTime</span>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#dateTime">dateTime</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<span title="A time period defined by a start and end date and optionally time.">occurencePeriod</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Period">Period</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="Specifies an event that may occur multiple times. Timing schedules are used to
record when things are planned, expected or requested to occur. The most common
usage is in dosage instructions for medications. They are also used when planning
care of various kinds, and may be used for reporting the schedule to which past
regular activities were carried out.">occurenceTiming</span>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Timing">Timing</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="MedicationAdministration.recorded : The date the occurrence of the MedicationAdministration
was first captured in the record - potentially significantly after the occurrence
of the event.">recorded</span>
<a name="MedicationAdministration.recorded"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#dateTime">dateTime</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">When the MedicationAdministration was first captured in the subject's record
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAARklEQVQ4y2P8//8/AyWAhYFCMAgMuHjx4n+KXaCv+I0szW8WpCG8kFO1lGFKW/SIjAUYgxz/MzAwMDC+nqhDUTQyj
uYFBgCNmhP4OvTRgwAAAABJRU5ErkJggg==" style="background-color: white; background-color: inherit" title="Primitive Data Type"/>
<span title="MedicationAdministration.isSubPotent : An indication that the full dose was not
administered.">isSubPotent</span>
<a name="MedicationAdministration.isSubPotent"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#boolean">boolean</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Full dose was not administered
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.subPotentReason : The reason or reasons why the full dose
was not administered.">subPotentReason</span>
<a name="MedicationAdministration.subPotentReason"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Reason full dose was not administered
<br/> Binding: <a href="valueset-administration-subpotent-reason.html">MedicationAdministration Subpotent Reason</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzIs1vtcMQAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAE0lEQVQI1
2P4//8/AxMDAwNdCABMPwMo2ctnoQAAAABJRU5ErkJggg==" style="background-color: inherit"/>
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzI3XJ6V3QAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAANklEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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slgxaLR4/3rMAWoBp32V5exg8Shl1ckRUQVaMVkQ2kCstKCEAOw==" style="background-color: white; background-color: inherit" title="Element"/>
<span title="MedicationAdministration.performer : The performer of the medication treatment.
For devices this is the device that performed the administration of the medication.
An IV Pump would be an example of a device that is performing the administration.
Both the IV Pump and the practitioner that set the rate or bolus on the pump can
be listed as performers.">performer</span>
<a name="MedicationAdministration.performer"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="types.html#BackBoneElement">BackboneElement</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Who or what performed the medication administration and what type of performance
they did
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBA
Dwftr/v8GtdbqEAthAtMspJJUx9rYW8ftHwAA+NcRAAAAXplLq0BWj/rZigAAAABJRU5ErkJggg==)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
YAAAAB3RJTUUH3wYeFzMPbYccAgAAAB1pVFh0Q29tbWVudAAAAAAAQ3JlYXRlZCB3aXRoIEdJTVBkLmUHAAAAMElEQVQ4y
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
AAAAAAQABAAAAemgH+CgxeFF4OIhBdKGwFChYl/hYwbdkoBPnaQkosbG3d3VEpSUlonUoY1Gzo6QkI8SrGxWBOFG4uySgY
5ZWR3PFy2hnaWZXC/PHcPwkpJk1ShoHcxhQEXSUmtFy6+0iSFVResrjoTPDzdcoU+F65CduVU6KAhhQa3F8Tx8nchBoYuq
oTLZoAKFRIhqGwqJAULFx0GYpBQeChRIR4TJm6KJMhQRUSBAAA7" style="background-color: #F7F7F7; background-color: inherit" title="Data Type"/>
<span title="MedicationAdministration.performer.function : Distinguishes the type of involvement
of the performer in the medication administration.">function</span>
<a name="MedicationAdministration.performer.function"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Type of performance
<br/> Binding: <a href="valueset-med-admin-perform-function.html">MedicationAdministration Performer Function Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAwEwfT6/ddA0GBAxO3NrLlKUj
9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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6TFi6cHULyz8KOjC7OIQKlQpU3uPjAwhX2CCcGsgOAAAAAElFTkSuQmCC" style="background-color: white; background-color: inherit" title="Reference to another Resource"/>
<span title="MedicationAdministration.performer.actor : Indicates who or what performed the
medication administration.">actor</span>
<a name="MedicationAdministration.performer.actor"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="elementdefinition-definitions.html#ElementDefinition.isSummary" style="padding-left: 3px; padding-right: 3px; color: black; null" title="This element is included in summaries">Σ</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">1..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#CodeableReference">CodeableReference</a> ( <a href="practitioner.html">Practitioner</a> | <a href="practitionerrole.html">PractitionerRole</a> | <a href="patient.html">Patient</a> | <a href="relatedperson.html">RelatedPerson</a> | <a href="device.html">Device</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Who or what performed the medication administration
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
url(data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAALUlEQVR4Xu3IoREAIAw
EwfT6/ddA0GBAxO3NrLlKUj9263wAAAAvrgEAADClAVWFQIBRHMicAAAAAElFTkSuQmCC)">
<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="MedicationAdministration.reason : A code, Condition or observation that supports
why the medication was administered.">reason</span>
<a name="MedicationAdministration.reason"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#CodeableReference">CodeableReference</a> ( <a href="condition.html">Condition</a> | <a href="observation.html">Observation</a> | <a href="diagnosticreport.html">DiagnosticReport</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Concept, condition or observation that supports why the medication was administered
<br/> Binding: <a href="valueset-reason-medication-given-codes.html">Reason Medication Given Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="MedicationAdministration.request : The original request, instruction or authority
to perform the administration.">request</span>
<a name="MedicationAdministration.request"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="medicationrequest.html">MedicationRequest</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Request administration performed against
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="MedicationAdministration.device : The device that is to be used for the administration
of the medication (for example, PCA Pump).">device</span>
<a name="MedicationAdministration.device"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="references.html#CodeableReference">CodeableReference</a> ( <a href="device.html">Device</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Device used to administer
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.note : Extra information about the medication administration
that is not conveyed by the other attributes.">note</span>
<a name="MedicationAdministration.note"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Annotation">Annotation</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Information about the administration
<br/> <br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPQfAOvGUf7ztuvPMf/78/fkl/Pbg+u8Rvjqteu2Pf3zxPz36Pz0z+vTmPz
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<span title="MedicationAdministration.dosage : Describes the medication dosage information details
e.g. dose, rate, site, route, etc.">dosage</span>
<a name="MedicationAdministration.dosage"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="types.html#BackBoneElement">BackboneElement</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Details of how medication was taken
<br/> <span style="font-style: italic" title="mad-1">+ Rule: If dosage attribute is present then SHALL have at least one of dosage.text
or dosage.dose or dosage.rate[x]</span>
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
e64,iVBORw0KGgoAAAANSUhEUgAAAyAAAAACCAYAAACg/LjIAAAAMUlEQVR4Xu3LMQoAIBADwftr/v8GtdbqEAthAtMspJ
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAACXBIWXMAAAsTAAALEwEAmpw
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<span title="MedicationAdministration.dosage.text : 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.">text</span>
<a name="MedicationAdministration.dosage.text"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#string">string</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Free text dosage instructions e.g. SIG
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.dosage.site : A coded specification of the anatomic site
where the medication first entered the body. For example, "left arm".">site</span>
<a name="MedicationAdministration.dosage.site"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Body site administered to
<br/> Binding: <a href="valueset-approach-site-codes.html">SNOMED CT Anatomical Structure for Administration Site Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.dosage.route : A code specifying the route or physiological
path of administration of a therapeutic agent into or onto the patient. For example,
topical, intravenous, etc.">route</span>
<a name="MedicationAdministration.dosage.route"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Path of substance into body
<br/> Binding: <a href="valueset-route-codes.html">SNOMED CT Route Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.dosage.method : 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.">method</span>
<a name="MedicationAdministration.dosage.method"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#CodeableConcept">CodeableConcept</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">How drug was administered
<br/> Binding: <a href="valueset-administration-method-codes.html">SNOMED CT Administration Method Codes</a> ( <a href="terminologies.html#example" title="Instances are not expected or even encouraged to draw from the specified value
set. The value set merely provides examples of the types of concepts intended
to be included.">Example</a> )
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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<span title="MedicationAdministration.dosage.dose : 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.">dose</span>
<a name="MedicationAdministration.dosage.dose"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">Amount of medication per dose
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image:
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAMQfAGm6/idTd4yTmF+v8Xa37KvW+lyh3KHJ62aq41ee2bXZ98nm/2mt5W2
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Ds=" style="background-color: #F7F7F7; background-color: inherit" title="Choice of Types"/>
<span title="MedicationAdministration.dosage.rate[x] : 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.">rate[x]</span>
<a name="MedicationAdministration.dosage.rate_x_"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="conformance-rules.html#constraints" style="padding-left: 3px; padding-right: 3px; border: 1px maroon solid; font-weight: bold;
color: #301212; background-color: #fdf4f4;" title="This element has or is affected by some invariants">C</a>
</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">0..1</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">Dose quantity per unit of time
<br/> </td> </tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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<span title="A relationship of two Quantity values - expressed as a numerator and a denominator.">rateRatio</span> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#Ratio">Ratio</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
#F7F7F7">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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<img alt="." class="hierarchy" src="data:image/png;base64,R0lGODlhEAAQAPZ/APrkusOiYvvfqbiXWaV2G+jGhdq1b8GgYf3v1frw3vTUlsWkZNewbcS
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</td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px">
<a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
#F0F0F0 solid; padding:0px 4px 0px 4px"/>
</tr> <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
white">
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px; white-space: nowrap; background-image: url(data:image/png;bas
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAAEAAAAWCAYAAAABxvaqAAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAWCAYAAADJqhx8AAAACXBIWXMAAAsTAAALEwEAmpw
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<img alt="." class="hierarchy" src="data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAABAAAAAQCAYAAAAf8/9hAAAAAXNSR0IArs4c6QAAAARnQU1
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<span title="MedicationAdministration.eventHistory : A summary of the events of interest that
have occurred, such as when the administration was verified.">eventHistory</span>
<a name="MedicationAdministration.eventHistory"> </a> </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px"/>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">0..*</td>
<td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">
<a href="references.html#Reference">Reference</a> ( <a href="provenance.html">Provenance</a> ) </td> <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
solid; padding:0px 4px 0px 4px">A list of events of interest in the lifecycle
<br/> <br/> </td> </tr> <tr> <td class="hierarchy" colspan="5"> <br/> <a href="https://build.fhir.org/ig/FHIR/ig-guidance/readingIgs.html#table-views" title="Legend for this format"> <img alt="doco" src="help16.png" style="background-color: inherit"/> Documentation for this format </a> </td> </tr> </table> </div> </text> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category"> <valueString value="Clinical.Medications"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status"> <valueCode value="trial-use"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm"> <valueInteger value="2"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category"> <valueCode value="patient"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg"> <valueCode value="phx"/> </extension> <url value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> <version value="5.0.0-draft-final"/> <name value="MedicationAdministration"/> <status value="draft"/> <experimental value="false"/> <date value="2023-03-01T23:03:57+11:00"/> <publisher value="Health Level Seven International (Pharmacy)"/> <contact> <telecom> <system value="url"/> <value value="http://hl7.org/fhir"/> </telecom> </contact> <contact> <telecom> <system value="url"/> <value value="http://www.hl7.org/Special/committees/medication/index.cfm"/> </telecom> </contact> <description value="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. This event can also be
used to record waste using a status of not-done and the appropriate statusReason."/>
<jurisdiction> <coding> <system value="http://unstats.un.org/unsd/methods/m49/m49.htm"/> <code value="001"/> <display value="World"/> </coding> </jurisdiction> <fhirVersion value="5.0.0-draft-final"/> <mapping> <identity value="workflow"/> <uri value="http://hl7.org/fhir/workflow"/> <name value="Workflow Pattern"/> </mapping> <mapping> <identity value="rim"/> <uri value="http://hl7.org/v3"/> <name value="RIM Mapping"/> </mapping> <mapping> <identity value="w5"/> <uri value="http://hl7.org/fhir/fivews"/> <name value="FiveWs Pattern Mapping"/> </mapping> <mapping> <identity value="v2"/> <uri value="http://hl7.org/v2"/> <name value="HL7 V2 Mapping"/> </mapping> <kind value="resource"/> <abstract value="false"/> <type value="MedicationAdministration"/> <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> <derivation value="specialization"/> <snapshot> <element id="MedicationAdministration"> <path value="MedicationAdministration"/> <short value="Administration of medication to a patient"/> <definition value="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."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration"/> <min value="0"/> <max value="*"/> </base> <constraint> <key value="dom-2"/> <severity value="error"/> <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/> <expression value="contained.contained.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-3"/> <severity value="error"/> <human value="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"/>
<expression value="contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofTy
pe(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url)))
or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical)
= '#').exists() or descendants().where(ofType(canonical) = '#').exists()).not()).trace('unmat
ched', id).empty()"/>
<source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-4"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId
or a meta.lastUpdated"/>
<expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <key value="dom-5"/> <severity value="error"/> <human value="If a resource is contained in another resource, it SHALL NOT have a security label"/> <expression value="contained.meta.security.empty()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <constraint> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice"> <valueBoolean value="true"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bestpractice-explanation"> <valueMarkdown value="When a resource has no narrative, only systems that fully understand the data can
display the resource to a human safely. Including a human readable representation
in the resource makes for a much more robust eco-system and cheaper handling of
resources by intermediary systems. Some ecosystems restrict distribution of resources
to only those systems that do fully understand the resources, and as a consequence
implementers may believe that the narrative is superfluous. However experience
shows that such eco-systems often open up to new participants over time."/>
</extension> <key value="dom-6"/> <severity value="warning"/> <human value="A resource should have narrative for robust management"/> <expression value="text.`div`.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Entity. Role, or Act"/> </mapping> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="SubstanceAdministration"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> </element> <element id="MedicationAdministration.id"> <path value="MedicationAdministration.id"/> <short value="Logical id of this artifact"/> <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned,
this value never changes."/>
<comment value="Within the context of the FHIR RESTful interactions, the resource has an id except
for cases like the create and conditional update. Otherwise, the use of the resouce
id depends on the given use case."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="id"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationAdministration.meta"> <path value="MedicationAdministration.meta"/> <short value="Metadata about the resource"/> <definition value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.meta"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Meta"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> </element> <element id="MedicationAdministration.implicitRules"> <path value="MedicationAdministration.implicitRules"/> <short value="A set of rules under which this content was created"/> <definition value="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."/>
<comment value="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 its narrative along with other profiles,
value sets, etc."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.implicitRules"/> <min value="0"/> <max value="1"/> </base> <type> <code value="uri"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="This element is labeled as a modifier because the implicit rules may provide additional
knowledge about the resource that modifies its meaning or interpretation"/>
<isSummary value="true"/> </element> <element id="MedicationAdministration.language"> <path value="MedicationAdministration.language"/> <short value="Language of the resource content"/> <definition value="The base language in which the resource is written."/> <comment value="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)."/>
<min value="0"/> <max value="1"/> <base> <path value="Resource.language"/> <min value="0"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="Language"/> </extension> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding"> <valueBoolean value="true"/> </extension> <strength value="required"/> <description value="IETF language tag for a human language"/> <valueSet value="http://hl7.org/fhir/ValueSet/all-languages|5.0.0-draft-final"/> <additional> <purpose value="starter"/> <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> </additional> </binding> </element> <element id="MedicationAdministration.text"> <path value="MedicationAdministration.text"/> <short value="Text summary of the resource, for human interpretation"/> <definition value="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."/>
<comment value="Contained resources do not have a 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."/>
<alias value="narrative"/> <alias value="html"/> <alias value="xhtml"/> <alias value="display"/> <min value="0"/> <max value="1"/> <base> <path value="DomainResource.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Narrative"/> </type> <condition value="dom-6"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="Act.text?"/> </mapping> </element> <element id="MedicationAdministration.contained"> <path value="MedicationAdministration.contained"/> <short value="Contained, inline Resources"/> <definition value="These resources do not have an independent existence apart from the resource that
contains them - they cannot be identified independently, nor can they have their
own independent transaction scope. This is allowed to be a Parameters resource
if and only if it is referenced by a resource that provides context/meaning."/>
<comment value="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."/>
<alias value="inline resources"/> <alias value="anonymous resources"/> <alias value="contained resources"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.contained"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Resource"/> </type> <condition value="dom-2"/> <condition value="dom-4"/> <condition value="dom-3"/> <condition value="dom-5"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationAdministration.extension"> <path value="MedicationAdministration.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationAdministration.modifierExtension"> <path value="MedicationAdministration.modifierExtension"/> <short value="Extensions that cannot be ignored"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="DomainResource.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
resource that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationAdministration.identifier"> <path value="MedicationAdministration.identifier"/> <short value="External identifier"/> <definition value="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."/>
<comment value="This is a business identifier, not a resource identifier."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.identifier"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Identifier"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="MedicationAdministration.basedOn"> <path value="MedicationAdministration.basedOn"/> <short value="Plan this is fulfilled by this administration"/> <definition value="A plan that is fulfilled in whole or in part by this MedicationAdministration."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.basedOn"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="MedicationAdministration.partOf"> <path value="MedicationAdministration.partOf"/> <short value="Part of referenced event"/> <definition value="A larger event of which this particular event is a component or step."/> <comment value="MedicationDispense will be used to indicate waste."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.partOf"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"/> </mapping> </element> <element id="MedicationAdministration.status"> <path value="MedicationAdministration.status"/> <short value="in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown"/> <definition value="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."/>
<comment value="This element is labeled as a modifier because the status contains codes that mark
the resource as not currently valid."/>
<min value="1"/> <max value="1"/> <base> <path value="MedicationAdministration.status"/> <min value="1"/> <max value="1"/> </base> <type> <code value="code"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="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"/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationStatus"/> </extension> <strength value="required"/> <description value="A set of codes indicating the current status of a MedicationAdministration."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-20 Completion Status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> </element> <element id="MedicationAdministration.statusReason"> <path value="MedicationAdministration.statusReason"/> <short value="Reason administration not performed"/> <definition value="A code indicating why the administration was not performed."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.statusReason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationNegationReason"/> </extension> <strength value="example"/> <description value="A set of codes indicating the reason why the MedicationAdministration is negated."/> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.statusReason"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-9 Administration Notes / RXA-18 Substance/Treatment Refusal Reason"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
not given"].value"/>
</mapping> </element> <element id="MedicationAdministration.category"> <path value="MedicationAdministration.category"/> <short value="Type of medication administration"/> <definition value="The type of medication administration (for example, drug classification like ATC,
where meds would be administered, legal category of the medication)."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.category"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationLocation"/> </extension> <strength value="example"/> <description value="A coded concept describing where the medication administered is expected to occur."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-location"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type
of medication usage"].value"/>
</mapping> </element> <element id="MedicationAdministration.medication"> <path value="MedicationAdministration.medication"/> <short value="What was administered"/> <definition value="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."/>
<comment value="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."/>
<min value="1"/> <max value="1"/> <base> <path value="MedicationAdministration.medication"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationCode"/> </extension> <strength value="example"/> <description value="Codes identifying substance or product that can be administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-5 Administered Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CSM].role[classCode=ADMM]"/> </mapping> </element> <element id="MedicationAdministration.subject"> <path value="MedicationAdministration.subject"/> <short value="Who received medication"/> <definition value="The person or animal or group receiving the medication."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationAdministration.subject"/> <min value="1"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3 Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="MedicationAdministration.encounter"> <path value="MedicationAdministration.encounter"/> <short value="Encounter administered as part of"/> <definition value="The visit, admission, or other contact between patient and health care provider
during which the medication administration was performed."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.encounter"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 Visit Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type
of encounter or episode"]"/>
</mapping> </element> <element id="MedicationAdministration.supportingInformation"> <path value="MedicationAdministration.supportingInformation"/> <short value="Additional information to support administration"/> <definition value="Additional information (for example, patient height and weight) that supports the
administration of the medication. This attribute can be used to provide documentation
of specific characteristics of the patient present at the time of administration.
For example, if the dose says "give "x" if the heartrate exceeds
"y"", then the heart rate can be included using this attribute."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.supportingInformation"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET
minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM,
OBS) and each of the act class codes draws from one or more of the following moodCodes
(EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/>
</mapping> </element> <element id="MedicationAdministration.occurence[x]"> <path value="MedicationAdministration.occurence[x]"/> <short value="Specific date/time or interval of time during which the administration took place
(or did not take place)"/>
<definition value="A specific date/time or interval of time during which the administration took place
(or did not take place). For many administrations, such as swallowing a tablet
the use of dateTime is more appropriate."/>
<min value="1"/> <max value="1"/> <base> <path value="MedicationAdministration.occurence[x]"/> <min value="1"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <type> <code value="Timing"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-3 Date/Time Start of Administration / RXA-4 Date/Time End of Administration"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="MedicationAdministration.recorded"> <path value="MedicationAdministration.recorded"/> <short value="When the MedicationAdministration was first captured in the subject's record"/> <definition value="The date the occurrence of the MedicationAdministration was first captured in
the record - potentially significantly after the occurrence of the event."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.recorded"/> <min value="0"/> <max value="1"/> </base> <type> <code value="dateTime"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="MedicationAdministration.isSubPotent"> <path value="MedicationAdministration.isSubPotent"/> <short value="Full dose was not administered"/> <definition value="An indication that the full dose was not administered."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.isSubPotent"/> <min value="0"/> <max value="1"/> </base> <type> <code value="boolean"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationAdministration.subPotentReason"> <path value="MedicationAdministration.subPotentReason"/> <short value="Reason full dose was not administered"/> <definition value="The reason or reasons why the full dose was not administered."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.subPotentReason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSubPotentReason"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/administration-subpotent-reason"/> </binding> </element> <element id="MedicationAdministration.performer"> <path value="MedicationAdministration.performer"/> <short value="Who or what performed the medication administration and what type of performance
they did"/>
<definition value="The performer of the medication treatment. For devices this is the device that
performed the administration of the medication. An IV Pump would be an example
of a device that is performing the administration. Both the IV Pump and the practitioner
that set the rate or bolus on the pump can be listed as performers."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.performer"/> <min value="0"/> <max value="*"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-10 Administering Provider / PRT-5 Participation Person: PRT-4 Participation='AP'
(RXA-10 is deprecated)"/>
</mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="MedicationAdministration.performer.id"> <path value="MedicationAdministration.performer.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationAdministration.performer.extension"> <path value="MedicationAdministration.performer.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationAdministration.performer.modifierExtension"> <path value="MedicationAdministration.performer.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationAdministration.performer.function"> <path value="MedicationAdministration.performer.function"/> <short value="Type of performance"/> <definition value="Distinguishes the type of involvement of the performer in the medication administration."/> <min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.performer.function"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationPerformerFunction"/> </extension> <strength value="example"/> <description value="A code describing the role an individual played in administering the medication."/> <valueSet value="http://hl7.org/fhir/ValueSet/med-admin-perform-function"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.performer.function"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=PRF].functionCode"/> </mapping> </element> <element id="MedicationAdministration.performer.actor"> <path value="MedicationAdministration.performer.actor"/> <short value="Who or what performed the medication administration"/> <definition value="Indicates who or what performed the medication administration."/> <min value="1"/> <max value="1"/> <base> <path value="MedicationAdministration.performer.actor"/> <min value="1"/> <max value="1"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".role"/> </mapping> </element> <element id="MedicationAdministration.reason"> <path value="MedicationAdministration.reason"/> <short value="Concept, condition or observation that supports why the medication was administered"/> <definition value="A code, Condition or observation that supports why the medication was administered."/> <min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.reason"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationReason"/> </extension> <strength value="example"/> <description value="A set of codes indicating the reason why the MedicationAdministration was made."/> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reason"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-27 Give Indication"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="MedicationAdministration.request"> <path value="MedicationAdministration.request"/> <short value="Request administration performed against"/> <definition value="The original request, instruction or authority to perform the administration."/> <comment value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.request"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2 Placer Order Number / ORC-3 Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value="InFullfillmentOf->SubstanceAdministration"/> </mapping> </element> <element id="MedicationAdministration.device"> <path value="MedicationAdministration.device"/> <short value="Device used to administer"/> <definition value="The device that is to be used for the administration of the medication (for example,
PCA Pump)."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.device"/> <min value="0"/> <max value="*"/> </base> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="PRT-10 Participation Device / RXR-3 Administrative Device"/> </mapping> <mapping> <identity value="rim"/> <map value="device->Access OR device->AssignedDevice"/> </mapping> </element> <element id="MedicationAdministration.note"> <path value="MedicationAdministration.note"/> <short value="Information about the administration"/> <definition value="Extra information about the medication administration that is not conveyed by the
other attributes."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.note"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Annotation"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation&q
uot;].value"/>
</mapping> </element> <element id="MedicationAdministration.dosage"> <path value="MedicationAdministration.dosage"/> <short value="Details of how medication was taken"/> <definition value="Describes the medication dosage information details e.g. dose, rate, site, route,
etc."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage"/> <min value="0"/> <max value="1"/> </base> <type> <code value="BackboneElement"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="mad-1"/> <severity value="error"/> <human value="If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose
or dosage.rate[x]"/>
<expression value="(dose.exists() or rate.exists() or text.exists())"/> <source value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="component->SubstanceAdministrationEvent"/> </mapping> </element> <element id="MedicationAdministration.dosage.id"> <path value="MedicationAdministration.dosage.id"/> <representation value="xmlAttr"/> <short value="Unique id for inter-element referencing"/> <definition value="Unique id for the element within a resource (for internal references). This may
be any string value that does not contain spaces."/>
<min value="0"/> <max value="1"/> <base> <path value="Element.id"/> <min value="0"/> <max value="1"/> </base>
<type> <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type"> <valueUrl value="string"/> </extension> <code value="http://hl7.org/fhirpath/System.String"/> </type> <condition value="ele-1"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationAdministration.dosage.extension"> <path value="MedicationAdministration.dosage.extension"/> <short value="Additional content defined by implementations"/> <definition value="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 managable, 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."/>
<comment value="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."/>
<alias value="extensions"/> <alias value="user content"/> <min value="0"/> <max value="*"/> <base> <path value="Element.extension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="n/a"/> </mapping> </element> <element id="MedicationAdministration.dosage.modifierExtension"> <path value="MedicationAdministration.dosage.modifierExtension"/> <short value="Extensions that cannot be ignored even if unrecognized"/> <definition value="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 managable, 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)."/>
<comment value="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."/>
<requirements value="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](extensibility.html#modifierExtension)."/>
<alias value="extensions"/> <alias value="user content"/> <alias value="modifiers"/> <min value="0"/> <max value="*"/> <base> <path value="BackboneElement.modifierExtension"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Extension"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <constraint> <key value="ext-1"/> <severity value="error"/> <human value="Must have either extensions or value[x], not both"/> <expression value="extension.exists() != value.exists()"/> <source value="http://hl7.org/fhir/StructureDefinition/Extension"/> </constraint> <isModifier value="true"/> <isModifierReason value="Modifier extensions are expected to modify the meaning or interpretation of the
element that contains them"/>
<isSummary value="true"/> <mapping> <identity value="rim"/> <map value="N/A"/> </mapping> </element> <element id="MedicationAdministration.dosage.text"> <path value="MedicationAdministration.dosage.text"/> <short value="Free text dosage instructions e.g. SIG"/> <definition value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.text"/> <min value="0"/> <max value="1"/> </base> <type> <code value="string"/> </type> <condition value="mad-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationAdministration.dosage.site"> <path value="MedicationAdministration.dosage.site"/> <short value="Body site administered to"/> <definition value="A coded specification of the anatomic site where the medication first entered the
body. For example, "left arm"."/>
<comment value="If the use case requires attributes from the BodySite resource (e.g. to identify
and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinitio
n/bodySite](http://hl7.org/fhir/extensions/StructureDefinition-bodySite.html).
May be a summary code, or a reference to a very precise definition of the location,
or both."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.site"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSite"/> </extension> <strength value="example"/> <description value="A coded concept describing the site location the medicine enters into or onto the
body."/>
<valueSet value="http://hl7.org/fhir/ValueSet/approach-site-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-2 Administration Site / RXR-6 Administration Site Modifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".approachSiteCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.route"> <path value="MedicationAdministration.dosage.route"/> <short value="Path of substance into body"/> <definition value="A code specifying the route or physiological path of administration of a therapeutic
agent into or onto the patient. For example, topical, intravenous, etc."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.route"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration"/> </extension> <strength value="example"/> <description value="A coded concept describing the route or physiological path of administration of
a therapeutic agent into or onto the body of a subject."/>
<valueSet value="http://hl7.org/fhir/ValueSet/route-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-1 Route"/> </mapping> <mapping> <identity value="rim"/> <map value=".routeCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.method"> <path value="MedicationAdministration.dosage.method"/> <short value="How drug was administered"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.method"/> <min value="0"/> <max value="1"/> </base> <type> <code value="CodeableConcept"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationMethod"/> </extension> <strength value="example"/> <description value="A coded concept describing the technique by which the medicine is administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/administration-method-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-4 Administration Method"/> </mapping> <mapping> <identity value="rim"/> <map value=".methodCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.dose"> <path value="MedicationAdministration.dosage.dose"/> <short value="Amount of medication per dose"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.dose"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="mad-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-6 Administered Amount / RXA-7 Administered Units"/> </mapping> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationAdministration.dosage.rate[x]"> <path value="MedicationAdministration.dosage.rate[x]"/> <short value="Dose quantity per unit of time"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <base> <path value="MedicationAdministration.dosage.rate[x]"/> <min value="0"/> <max value="1"/> </base> <type> <code value="Ratio"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="mad-1"/> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-12 Administered Per (Time Unit)"/> </mapping> <mapping> <identity value="rim"/> <map value=".rateQuantity"/> </mapping> </element> <element id="MedicationAdministration.eventHistory"> <path value="MedicationAdministration.eventHistory"/> <short value="A list of events of interest in the lifecycle"/> <definition value="A summary of the events of interest that have occurred, such as when the administration
was verified."/>
<comment value="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."/>
<min value="0"/> <max value="*"/> <base> <path value="MedicationAdministration.eventHistory"/> <min value="0"/> <max value="*"/> </base> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <constraint> <key value="ele-1"/> <severity value="error"/> <human value="All FHIR elements must have a @value or children"/> <expression value="hasValue() or (children().count() > id.count())"/> <source value="http://hl7.org/fhir/StructureDefinition/Element"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </snapshot> <differential> <element id="MedicationAdministration"> <path value="MedicationAdministration"/> <short value="Administration of medication to a patient"/> <definition value="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."/>
<min value="0"/> <max value="*"/> <mustSupport value="false"/> <isModifier value="false"/> <mapping> <identity value="workflow"/> <map value="Event"/> </mapping> <mapping> <identity value="rim"/> <map value="SubstanceAdministration"/> </mapping> <mapping> <identity value="w5"/> <map value="clinical.medication"/> </mapping> </element> <element id="MedicationAdministration.identifier"> <path value="MedicationAdministration.identifier"/> <short value="External identifier"/> <definition value="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."/>
<comment value="This is a business identifier, not a resource identifier."/> <min value="0"/> <max value="*"/> <type> <code value="Identifier"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.identifier"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.identifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".id"/> </mapping> </element> <element id="MedicationAdministration.basedOn"> <path value="MedicationAdministration.basedOn"/> <short value="Plan this is fulfilled by this administration"/> <definition value="A plan that is fulfilled in whole or in part by this MedicationAdministration."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/CarePlan"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=FLFS].target"/> </mapping> </element> <element id="MedicationAdministration.partOf"> <path value="MedicationAdministration.partOf"/> <short value="Part of referenced event"/> <definition value="A larger event of which this particular event is a component or step."/> <comment value="MedicationDispense will be used to indicate waste."/> <min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationDispense"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.partOf"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]"/> </mapping> </element> <element id="MedicationAdministration.status"> <path value="MedicationAdministration.status"/> <short value="in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown"/> <definition value="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."/>
<comment value="This element is labeled as a modifier because the status contains codes that mark
the resource as not currently valid."/>
<min value="1"/> <max value="1"/> <type> <code value="code"/> </type> <mustSupport value="false"/> <isModifier value="true"/> <isModifierReason value="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"/>
<isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationStatus"/> </extension> <strength value="required"/> <description value="A set of codes indicating the current status of a MedicationAdministration."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0-draft-final"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.status"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.status"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-20 Completion Status"/> </mapping> <mapping> <identity value="rim"/> <map value=".statusCode"/> </mapping> </element> <element id="MedicationAdministration.statusReason"> <path value="MedicationAdministration.statusReason"/> <short value="Reason administration not performed"/> <definition value="A code indicating why the administration was not performed."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationNegationReason"/> </extension> <strength value="example"/> <description value="A set of codes indicating the reason why the MedicationAdministration is negated."/> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.statusReason"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-9 Administration Notes / RXA-18 Substance/Treatment Refusal Reason"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code="reason
not given"].value"/>
</mapping> </element> <element id="MedicationAdministration.category"> <path value="MedicationAdministration.category"/> <short value="Type of medication administration"/> <definition value="The type of medication administration (for example, drug classification like ATC,
where meds would be administered, legal category of the medication)."/>
<min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationLocation"/> </extension> <strength value="example"/> <description value="A coded concept describing where the medication administered is expected to occur."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-location"/> </binding> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code="type
of medication usage"].value"/>
</mapping> </element> <element id="MedicationAdministration.medication"> <path value="MedicationAdministration.medication"/> <short value="What was administered"/> <definition value="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."/>
<comment value="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."/>
<min value="1"/> <max value="1"/> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationCode"/> </extension> <strength value="example"/> <description value="Codes identifying substance or product that can be administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.code"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.what[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-5 Administered Code"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=CSM].role[classCode=ADMM]"/> </mapping> </element> <element id="MedicationAdministration.subject"> <path value="MedicationAdministration.subject"/> <short value="Who received medication"/> <definition value="The person or animal or group receiving the medication."/> <min value="1"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.subject"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="PID-3 Patient ID List"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=SBJ].role[classCode=PAT]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.subject"/> </mapping> </element> <element id="MedicationAdministration.encounter"> <path value="MedicationAdministration.encounter"/> <short value="Encounter administered as part of"/> <definition value="The visit, admission, or other contact between patient and health care provider
during which the medication administration was performed."/>
<min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.encounter"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="v2"/> <map value="PV1-19 Visit Number"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code="type
of encounter or episode"]"/>
</mapping> </element> <element id="MedicationAdministration.supportingInformation"> <path value="MedicationAdministration.supportingInformation"/> <short value="Additional information to support administration"/> <definition value="Additional information (for example, patient height and weight) that supports the
administration of the medication. This attribute can be used to provide documentation
of specific characteristics of the patient present at the time of administration.
For example, if the dose says "give "x" if the heartrate exceeds
"y"", then the heart rate can be included using this attribute."/>
<min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="w5"/> <map value="FiveWs.context"/> </mapping> <mapping> <identity value="rim"/> <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET
minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM,
OBS) and each of the act class codes draws from one or more of the following moodCodes
(EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]"/>
</mapping> </element> <element id="MedicationAdministration.occurence[x]"> <path value="MedicationAdministration.occurence[x]"/> <short value="Specific date/time or interval of time during which the administration took place
(or did not take place)"/>
<definition value="A specific date/time or interval of time during which the administration took place
(or did not take place). For many administrations, such as swallowing a tablet
the use of dateTime is more appropriate."/>
<min value="1"/> <max value="1"/> <type> <code value="dateTime"/> </type> <type> <code value="Period"/> </type> <type> <code value="Timing"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.occurrence[x]"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.done[x]"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-3 Date/Time Start of Administration / RXA-4 Date/Time End of Administration"/> </mapping> <mapping> <identity value="rim"/> <map value=".effectiveTime"/> </mapping> </element> <element id="MedicationAdministration.recorded"> <path value="MedicationAdministration.recorded"/> <short value="When the MedicationAdministration was first captured in the subject's record"/> <definition value="The date the occurrence of the MedicationAdministration was first captured in
the record - potentially significantly after the occurrence of the event."/>
<min value="0"/> <max value="1"/> <type> <code value="dateTime"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="w5"/> <map value="FiveWs.recorded"/> </mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=AUT].time"/> </mapping> </element> <element id="MedicationAdministration.isSubPotent"> <path value="MedicationAdministration.isSubPotent"/> <short value="Full dose was not administered"/> <definition value="An indication that the full dose was not administered."/> <min value="0"/> <max value="1"/> <type> <code value="boolean"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> </element> <element id="MedicationAdministration.subPotentReason"> <path value="MedicationAdministration.subPotentReason"/> <short value="Reason full dose was not administered"/> <definition value="The reason or reasons why the full dose was not administered."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSubPotentReason"/> </extension> <strength value="example"/> <valueSet value="http://hl7.org/fhir/ValueSet/administration-subpotent-reason"/> </binding> </element> <element id="MedicationAdministration.performer"> <path value="MedicationAdministration.performer"/> <short value="Who or what performed the medication administration and what type of performance
they did"/>
<definition value="The performer of the medication treatment. For devices this is the device that
performed the administration of the medication. An IV Pump would be an example
of a device that is performing the administration. Both the IV Pump and the practitioner
that set the rate or bolus on the pump can be listed as performers."/>
<min value="0"/> <max value="*"/> <type> <code value="BackboneElement"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer"/> </mapping> <mapping> <identity value="w5"/> <map value="FiveWs.actor"/> </mapping> <mapping> <identity value="v2"/> <map value="RXA-10 Administering Provider / PRT-5 Participation Person: PRT-4 Participation='AP'
(RXA-10 is deprecated)"/>
</mapping> <mapping> <identity value="rim"/> <map value=".participation[typeCode=PRF]"/> </mapping> </element> <element id="MedicationAdministration.performer.function"> <path value="MedicationAdministration.performer.function"/> <short value="Type of performance"/> <definition value="Distinguishes the type of involvement of the performer in the medication administration."/> <min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationPerformerFunction"/> </extension> <strength value="example"/> <description value="A code describing the role an individual played in administering the medication."/> <valueSet value="http://hl7.org/fhir/ValueSet/med-admin-perform-function"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.performer.function"/> </mapping> <mapping> <identity value="rim"/> <map value="participation[typeCode=PRF].functionCode"/> </mapping> </element> <element id="MedicationAdministration.performer.actor"> <path value="MedicationAdministration.performer.actor"/> <short value="Who or what performed the medication administration"/> <definition value="Indicates who or what performed the medication administration."/> <min value="1"/> <max value="1"/> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="true"/> <mapping> <identity value="workflow"/> <map value="Event.performer.actor"/> </mapping> <mapping> <identity value="rim"/> <map value=".role"/> </mapping> </element> <element id="MedicationAdministration.reason"> <path value="MedicationAdministration.reason"/> <short value="Concept, condition or observation that supports why the medication was administered"/> <definition value="A code, Condition or observation that supports why the medication was administered."/> <min value="0"/> <max value="*"/> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationReason"/> </extension> <strength value="example"/> <description value="A set of codes indicating the reason why the MedicationAdministration was made."/> <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"/> </binding> <mapping> <identity value="workflow"/> <map value="Event.reason"/> </mapping> <mapping> <identity value="v2"/> <map value="RXE-27 Give Indication"/> </mapping> <mapping> <identity value="rim"/> <map value=".reasonCode"/> </mapping> </element> <element id="MedicationAdministration.request"> <path value="MedicationAdministration.request"/> <short value="Request administration performed against"/> <definition value="The original request, instruction or authority to perform the administration."/> <comment value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.basedOn"/> </mapping> <mapping> <identity value="v2"/> <map value="ORC-2 Placer Order Number / ORC-3 Filler Order Number"/> </mapping> <mapping> <identity value="rim"/> <map value="InFullfillmentOf->SubstanceAdministration"/> </mapping> </element> <element id="MedicationAdministration.device"> <path value="MedicationAdministration.device"/> <short value="Device used to administer"/> <definition value="The device that is to be used for the administration of the medication (for example,
PCA Pump)."/>
<min value="0"/> <max value="*"/> <type> <code value="CodeableReference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="PRT-10 Participation Device / RXR-3 Administrative Device"/> </mapping> <mapping> <identity value="rim"/> <map value="device->Access OR device->AssignedDevice"/> </mapping> </element> <element id="MedicationAdministration.note"> <path value="MedicationAdministration.note"/> <short value="Information about the administration"/> <definition value="Extra information about the medication administration that is not conveyed by the
other attributes."/>
<min value="0"/> <max value="*"/> <type> <code value="Annotation"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="workflow"/> <map value="Event.note"/> </mapping> <mapping> <identity value="rim"/> <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code="annotation&q
uot;].value"/>
</mapping> </element> <element id="MedicationAdministration.dosage"> <path value="MedicationAdministration.dosage"/> <short value="Details of how medication was taken"/> <definition value="Describes the medication dosage information details e.g. dose, rate, site, route,
etc."/>
<min value="0"/> <max value="1"/> <type> <code value="BackboneElement"/> </type> <constraint> <key value="mad-1"/> <severity value="error"/> <human value="If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose
or dosage.rate[x]"/>
<expression value="(dose.exists() or rate.exists() or text.exists())"/> <source value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/> </constraint> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value="component->SubstanceAdministrationEvent"/> </mapping> </element> <element id="MedicationAdministration.dosage.text"> <path value="MedicationAdministration.dosage.text"/> <short value="Free text dosage instructions e.g. SIG"/> <definition value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="string"/> </type> <condition value="mad-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".text"/> </mapping> </element> <element id="MedicationAdministration.dosage.site"> <path value="MedicationAdministration.dosage.site"/> <short value="Body site administered to"/> <definition value="A coded specification of the anatomic site where the medication first entered the
body. For example, "left arm"."/>
<comment value="If the use case requires attributes from the BodySite resource (e.g. to identify
and track separately) then use the standard extension [http://hl7.org/fhir/StructureDefinitio
n/bodySite](http://hl7.org/fhir/extensions/StructureDefinition-bodySite.html).
May be a summary code, or a reference to a very precise definition of the location,
or both."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationSite"/> </extension> <strength value="example"/> <description value="A coded concept describing the site location the medicine enters into or onto the
body."/>
<valueSet value="http://hl7.org/fhir/ValueSet/approach-site-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-2 Administration Site / RXR-6 Administration Site Modifier"/> </mapping> <mapping> <identity value="rim"/> <map value=".approachSiteCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.route"> <path value="MedicationAdministration.dosage.route"/> <short value="Path of substance into body"/> <definition value="A code specifying the route or physiological path of administration of a therapeutic
agent into or onto the patient. For example, topical, intravenous, etc."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="RouteOfAdministration"/> </extension> <strength value="example"/> <description value="A coded concept describing the route or physiological path of administration of
a therapeutic agent into or onto the body of a subject."/>
<valueSet value="http://hl7.org/fhir/ValueSet/route-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-1 Route"/> </mapping> <mapping> <identity value="rim"/> <map value=".routeCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.method"> <path value="MedicationAdministration.dosage.method"/> <short value="How drug was administered"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="CodeableConcept"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <binding> <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName"> <valueString value="MedicationAdministrationMethod"/> </extension> <strength value="example"/> <description value="A coded concept describing the technique by which the medicine is administered."/> <valueSet value="http://hl7.org/fhir/ValueSet/administration-method-codes"/> </binding> <mapping> <identity value="v2"/> <map value="RXR-4 Administration Method"/> </mapping> <mapping> <identity value="rim"/> <map value=".methodCode"/> </mapping> </element> <element id="MedicationAdministration.dosage.dose"> <path value="MedicationAdministration.dosage.dose"/> <short value="Amount of medication per dose"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="mad-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-6 Administered Amount / RXA-7 Administered Units"/> </mapping> <mapping> <identity value="rim"/> <map value=".doseQuantity"/> </mapping> </element> <element id="MedicationAdministration.dosage.rate[x]"> <path value="MedicationAdministration.dosage.rate[x]"/> <short value="Dose quantity per unit of time"/> <definition value="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."/>
<comment value="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."/>
<min value="0"/> <max value="1"/> <type> <code value="Ratio"/> </type> <type> <code value="Quantity"/> <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity"/> </type> <condition value="mad-1"/> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="v2"/> <map value="RXA-12 Administered Per (Time Unit)"/> </mapping> <mapping> <identity value="rim"/> <map value=".rateQuantity"/> </mapping> </element> <element id="MedicationAdministration.eventHistory"> <path value="MedicationAdministration.eventHistory"/> <short value="A list of events of interest in the lifecycle"/> <definition value="A summary of the events of interest that have occurred, such as when the administration
was verified."/>
<comment value="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."/>
<min value="0"/> <max value="*"/> <type> <code value="Reference"/> <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance"/> </type> <mustSupport value="false"/> <isModifier value="false"/> <isSummary value="false"/> <mapping> <identity value="rim"/> <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]"/> </mapping> </element> </differential>
</
StructureDefinition
>
Usage
note:
every
effort
has
been
made
to
ensure
that
the
examples
are
correct
and
useful,
but
they
are
not
a
normative
part
of
the
specification.
Medications
.
Page
versions:
R5
R4B
R4
R3
R2
|
Propose
a
change