Release 4B Snapshot 3: Connectathon 32 Base

This page is part of the Snapshot #3 for FHIR Specification (v4.3.0: R4B - STU ). The current version which supercedes this version is 5.0.0 R5 , released to support Connectathon 32 . For a full list of available versions, see the Directory of published versions . Page versions: R5 R4B R4 R3 R2

Medicationadministration.profile.xml

Example StructureDefinition/MedicationAdministration (XML)

Pharmacy Work Group Maturity Level : N/A Standards Status : Informative Compartments : Device , Encounter , Patient , Practitioner , RelatedPerson

Raw XML ( canonical form + also see XML Format Specification )

Jump past Narrative

StructureDefinition for medicationadministration

<?xml version="1.0" encoding="UTF-8"?>

<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationAdministration"/> 
  <meta> 
    

    <lastUpdated value="2022-12-14T07:12:54.019+11:00"/> 
  </meta> 
  <text> 
    <status value="generated"/> 
    <div xmlns="http://www.w3.org/1999/xhtml">
      
        
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           padding:0px 4px 0px 4px
            

      <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            

          <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 &amp; 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> 
        
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            ABJRU5ErkJggg== 
            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.

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
         white">
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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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px
            padding-left: 3px; padding-right: 3px; border: 1px grey solid; font-weight: bold; color:
             black; background-color: #fff5e6

          <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> 
          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

          <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxAdministration of medication to a patient

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

            <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., 
            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., 

             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 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 &quot;clinically
             safe&quot; 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., 

            <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
             &quot;clinically safe&quot; 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 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., 

             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.">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 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.

             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).

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> 

        
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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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            <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> 
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          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">0..*</td> 
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            <a href="datatypes.html#Identifier">Identifier</a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
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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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            <span title="MedicationAdministration.basedOn : A plan that is fulfilled in whole or in part

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            <a name="MedicationAdministration.basedOn"> </a> 
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          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

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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="references.html#Reference">Reference</a> (
            <a href="careplan.html">CarePlan</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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           solid; padding:0px 4px 0px 4px">Plan this is fulfilled by this administration
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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            MedicationAdministration.partOf : A larger event of which this particular event is a component
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            <span title="MedicationAdministration.partOf : A larger event of which this particular event

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            <a name="MedicationAdministration.partOf"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <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> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="references.html#Reference">Reference</a> (
            <a href="medicationadministration.html">MedicationAdministration</a>  | 
            <a href="procedure.html">Procedure</a> )
          </td> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
            <br/>  
          </td> 
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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.

             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> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <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> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <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

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            <a href="datatypes.html#code">code</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxin-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown

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           solid; padding:0px 4px 0px 4px">in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown

            <br/>  
            <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> 

        
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            MedicationAdministration.statusReason : A code indicating why the administration was not
             performed.

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            <span title="MedicationAdministration.statusReason : A code indicating why the administration

             was not performed.">statusReason</span> 

            <a name="MedicationAdministration.statusReason"> </a> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          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
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          <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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxReason administration not performed

          <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/>  
            <a href="valueset-reason-medication-not-given-codes.html">SNOMED CT Reason Medication Not Given Codes</a>  (
            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.)

            <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> 

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

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            <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> 
          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
          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">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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxType of medication usage

          <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/>  
            <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/>  
             (
            Instances are encouraged to draw from the specified codes for interoperability purposes
             but are not required to do so to be considered conformant.)

          </td> 
        </tr> 

        
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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.
            

        <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="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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <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/>  
            <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> 


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            <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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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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 4pxWhat was administered

          <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/>  
             (
            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.)

          </td> 
        </tr> 

        
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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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            <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> 
          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
          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: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

        </tr> 

        
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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 &quot;give &quot;x&quot; if the heartrate exceeds &quot;y&quot;&quot;, then
             the heart rate can be included using this attribute.">supportingInformation</span> 
            <a name="MedicationAdministration.supportingInformation"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <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="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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px

        </tr> 

        
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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> 
          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: #F7F7F7; border: 0px
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            <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> 
          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
            (
             | 
            )

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <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">Start and end time of administration
            <br/>  
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

        </tr> 

        
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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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            <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> 

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           solid; padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <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> 
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           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"/> 

        </tr> 

        
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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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            (
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            <span title="A time period defined by a start and end date and optionally time.">occurencePeriod</span> 
          </td> 
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           padding:0px 4px 0px 4pxAdditional information to support administration
            

          <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

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            <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> 

        
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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.
            

        <tr style="border: 0px #F0F0F0 solid; padding:0px; vertical-align: top; background-color:
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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> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <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> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <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">When the MedicationAdministration was first captured in the subject's record
            <br/>  
          </td> 
        </tr> 

        
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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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            <a href="datatypes.html#boolean">boolean</a> 
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            <br/>  
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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> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <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
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
            <a href="valueset-administration-subpotent-reason.html">MedicationAdministration Subpotent Reason</a>  (
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             set.  The value set merely provides examples of the types of concepts intended
             to be included.">Example</a> )
            <br/>  
            <br/>  
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            MedicationAdministration.performer : Indicates who or what performed the medication administration
             and how they were involved.

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            <span title="MedicationAdministration.performer : Indicates who or what performed the medication

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            <a name="MedicationAdministration.performer"> </a> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <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> 
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           padding:0px 4px 0px 4px
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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> 

        
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            MedicationAdministration.performer.function : Distinguishes the type of involvement of
             the performer in the medication administration.

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            <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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="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: #F7F7F7; border: 0px #F0F0F0

          <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> 
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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#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Type of performance
            <br/>  
            <a href="valueset-med-admin-perform-function.html">MedicationAdministration Performer Function Codes</a>  (
            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.)

            <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> 

        
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            MedicationAdministration.performer.actor : Indicates who or what performed the medication
             administration.

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            <span title="MedicationAdministration.performer.actor : Indicates who or what performed the

             medication administration.">actor</span> 

            <a name="MedicationAdministration.performer.actor"> </a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <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> 
          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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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="references.html#Reference">Reference</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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4px

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            <br/>  
          </td> 
        </tr> 

        
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          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
          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
            (

            <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> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxCondition or observation that supports why the medication was administered

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Concept, condition or observation that supports why the medication was administered
            <br/>  
            <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> 

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

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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> 
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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
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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            <a href="references.html#Reference">Reference</a> (
            <a href="medicationrequest.html">MedicationRequest</a> )
          </td> 
          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">Request administration performed against
            <br/>  
          </td> 
        </tr> 

        
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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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            <span title="MedicationAdministration.device : The device used in administering the medication

             to the patient.  For example, a particular infusion pump.">device</span> 

            <a name="MedicationAdministration.device"> </a> 
          </td> 
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="references.html#Reference">Reference</a> (
            <a href="device.html">Device</a> )
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxDevice used to administer

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
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            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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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> 
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <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#Annotation">Annotation</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxInformation about the administration

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Information about the administration
            <br/>  
            <br/>  
          </td> 
        </tr> 

        
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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> 
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           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="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> 

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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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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">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="types.html#BackBoneElement">BackboneElement</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
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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">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> 

        
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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.

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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> 
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            <a href="datatypes.html#string">string</a> 
          </td> 
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           solid; padding:0px 4px 0px 4px

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <br/>  
          </td> 
        </tr> 

        
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            MedicationAdministration.dosage.site : A coded specification of the anatomic site where
             the medication first entered the body.  For example, &quot;left arm&quot;.

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            Slfrkt+zVqe7Wqv3x1/bNffbOf59wFdS6if3u0vrqyP3owPvepfXQivDQkO/PkKh9K7STVf779P///wD/ACH5BAEKAH8AL
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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, &quot;left arm&quot;.">site</span> 

            <a name="MedicationAdministration.dosage.site"> </a> 
          </td> 
          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
          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

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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0

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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxBody site administered to

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">Body site administered to

            <br/>  
            <a href="valueset-approach-site-codes.html">SNOMED CT Anatomical Structure for Administration Site Codes</a>  (
            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.)

            <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> 

        
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            MedicationAdministration.dosage.route : A code specifying the route or physiological path
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             intravenous, etc.

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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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4pxPath of substance into body

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px
           #F0F0F0 solid; padding:0px 4px 0px 4px">Path of substance into body

            <br/>  
            <a href="valueset-route-codes.html">SNOMED CT Route Codes</a>  (
            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.)

            <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> 

        
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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,
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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> 
          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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            <a href="datatypes.html#CodeableConcept">CodeableConcept</a> 
          </td> 
          vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0 solid;
           padding:0px 4px 0px 4pxHow drug was administered

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: white; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px">How drug was administered

            <br/>  
            <a href="valueset-administration-method-codes.html">SNOMED CT Administration Method Codes</a>  (
            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.)

            <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> 

        
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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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            <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> 
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          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
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          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px

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          <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> 
          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">Amount of medication per dose
            <br/>  
          </td> 
        </tr> 

        
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            <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.

             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> 
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          <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

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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">Dose quantity per unit of time
            <br/>  
          </td> 
        </tr> 

        
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            <a href="datatypes.html#SimpleQuantity">SimpleQuantity</a> 
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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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            <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> 
          vertical-align: top; text-align : left; background-color: #F7F7F7; border: 0px #F0F0F0
           solid; padding:0px 4px 0px 4px
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          <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#Reference">Reference</a> (
            <a href="provenance.html">Provenance</a> )
          </td> 
          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

          <td class="hierarchy" style="vertical-align: top; text-align : left; background-color: #F7F7F7; 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">
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  </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-snapshot3"/> 
  <name value="MedicationAdministration"/> 
  <status value="draft"/> 
  <experimental value="false"/> 
  

  <date value="2022-12-14T07:12:54+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 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."/> 
  <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-snapshot3"/> 
  <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.

        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"/> 
        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))))

        <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(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='#']))]))

         = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched
        ', id).empty()"/> 

        <source value="http://hl7.org/fhir/StructureDefinition/DomainResource"/> 
      </constraint> 
      <constraint> 
        <key value="dom-4"/> 
        <severity value="error"/> 
        If a resource is contained in another resource, it SHALL NOT have a meta.versionId or
         a meta.lastUpdated

        <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">
          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.

          <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"/> 
      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.

      <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> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <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.

       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() &gt; 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"/> 
      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.

      <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 it's 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() &gt; 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 it's 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."/> 
      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).

      <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() &gt; 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-maxValueSet">
          <valueCanonical value="http://hl7.org/fhir/ValueSet/all-languages"/> 
        </extension> 
        <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="preferred"/> 
        <description value="IETF language tag"/> 
        <valueSet value="http://hl7.org/fhir/ValueSet/languages"/> 
      </binding> 
    </element> 
    <element id="MedicationAdministration.text">
      <path value="MedicationAdministration.text"/> 
      <short value="Text summary of the resource, for human interpretation"/> 
      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 &quot;clinically
       safe&quot; 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 &quot;text blob&quot;
       or where text is additionally entered raw or narrated and encoded information is added
       later.

      <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
       &quot;clinically safe&quot; 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 &quot;text blob&quot; 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> 
      <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() &gt; 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"/> 
      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.

      <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> 
      
        
        
        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)
        
      

      <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 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.

       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."/> 
      <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() &gt; 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 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.

       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 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() &gt; 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"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the resource
       that contains them
      

      <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"/> 
      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.

      <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() &gt; 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> 
    
      
      
      A protocol, guideline, orderset, or other definition that was adhered to in whole or in
       part by this event.

    <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() &gt; 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."/> 
      <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"/> 
      </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() &gt; 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"/> 
      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.

      <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() &gt; id.count())"/> 
        

        <source value="http://hl7.org/fhir/StructureDefinition/Element"/> 
      </constraint> 
      <mustSupport value="false"/> 
      <isModifier value="true"/> 
      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

      <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-snapshot3"/> 
      </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() &gt; 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=&quot;reason
         not given&quot;].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() &gt; 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=&quot;type
         of medication usage&quot;].value"/> 
      </mapping> 
    </element> 
    
      

    <element id="MedicationAdministration.medication">
      <path value="MedicationAdministration.medication"/> 
      <short value="What was administered"/> 
      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.

      <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() &gt; 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() &gt; 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> 
    
      
      
      The visit, admission, or other contact between patient and health care provider during
       which the medication administration was performed.

    <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() &gt; 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.context"/> 
      </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=&quot;type
         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.supportingInformation">
      <path value="MedicationAdministration.supportingInformation"/> 
      <short value="Additional information to support administration"/> 
      Additional information (for example, patient height and weight) that supports the administration
       of the medication.

      <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 &quot;give &quot;x&quot; if the heartrate exceeds
       &quot;y&quot;&quot;, 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() &gt; 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"/> 
        .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)]

        <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="Start and end time of administration"/> 
      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.

      <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> 
      <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() &gt; 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() &gt; 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() &gt; 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() &gt; 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="Indicates who or what performed the medication administration and how they were

       involved. For devices, this is the device that is actually performing 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() &gt; 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"/> 
        RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10
         is deprecated)

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

      <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> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <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 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.

       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."/> 
      <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() &gt; 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 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.

       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 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() &gt; 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"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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() &gt; 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 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="Reference"/> 
        <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() &gt; 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() &gt; 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> 
    
      
      
      
      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=&quot;reason
         for use ASSERTION&quot;].value
      
      
        
        
      
    

    <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."/> 
      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.

      <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() &gt; 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-&gt;SubstanceAdministration"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.device">
      <path value="MedicationAdministration.device"/> 
      <short value="Device used to administer"/> 
      The device used in administering the medication to the patient.  For example, a particular
       infusion pump.

      <definition value="The device used in administering the medication to the patient.  For example, a
       particular infusion pump."/> 

      <min value="0"/> 
      <max value="*"/> 
      <base> 
        <path value="MedicationAdministration.device"/> 
        <min value="0"/> 
        <max value="*"/> 
      </base> 
      <type> 
        <code value="Reference"/> 
        <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() &gt; 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-&gt;Access  OR device-&gt;AssignedDevice"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.note">
      <path value="MedicationAdministration.note"/> 
      <short value="Information about the administration"/> 
      Extra information about the medication administration that is not conveyed by the other
       attributes.

      <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() &gt; 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"/> 
        .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].v
        alue

        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;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() &gt; 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-&gt;SubstanceAdministrationEvent"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.dosage.id">
      <path value="MedicationAdministration.dosage.id"/> 
      <representation value="xmlAttr"/> 
      <short value="Unique id for inter-element referencing"/> 
      Unique id for the element within a resource (for internal references). This may be any
       string value that does not contain spaces.

      <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> 
      <!--  Note: special primitive values have a FHIRPath system type. e.g. this is compiler
       magic (j)  -->

      <type> 
        <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fhir-type">
          <valueUrl value="string"/> 
        </extension> 
        <code value="http://hl7.org/fhirpath/System.String"/> 
      </type> 
      <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 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.

       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."/> 
      <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() &gt; 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 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.

       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 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() &gt; 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"/> 
      Modifier extensions are expected to modify the meaning or interpretation of the element
       that contains them

      <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"/> 
      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.

      <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> 
      <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() &gt; 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"/> 
      A coded specification of the anatomic site where the medication first entered the body.
        For example, &quot;left arm&quot;.
      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.

      <definition value="A coded specification of the anatomic site where the medication first entered the
       body.  For example, &quot;left arm&quot;."/> 
      <comment value="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."/> 

      <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() &gt; 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"/> 
      A code specifying the route or physiological path of administration of a therapeutic agent
       into or onto the patient.  For example, topical, intravenous, etc.

      <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() &gt; 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"/> 
        A coded concept describing the route or physiological path of administration of a therapeutic
         agent into or onto the body of a subject.

        <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"/> 
      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.

      <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() &gt; 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"/> 
      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.

      <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> 
      <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() &gt; 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"/> 
      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.

      <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.

       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> 
      <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() &gt; 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."/> 
      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.

      <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() &gt; 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.

        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"/> 
      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.

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

    <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."/> 
      <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"/> 
      </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"/> 
      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.

      <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"/> 
      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

      <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-snapshot3"/> 
      </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=&quot;reason
         not given&quot;].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=&quot;type
         of medication usage&quot;].value"/> 
      </mapping> 
    </element> 
    
      

    <element id="MedicationAdministration.medication">
      <path value="MedicationAdministration.medication"/> 
      <short value="What was administered"/> 
      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.

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

    <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.context"/> 
      </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=&quot;type
         of encounter or episode&quot;]"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.supportingInformation">
      <path value="MedicationAdministration.supportingInformation"/> 
      <short value="Additional information to support administration"/> 
      Additional information (for example, patient height and weight) that supports the administration
       of the medication.

      <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 &quot;give &quot;x&quot; if the heartrate exceeds
       &quot;y&quot;&quot;, 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"/> 
        .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)]

        <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="Start and end time of administration"/> 
      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.

      <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> 
      <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="Indicates who or what performed the medication administration and how they were

       involved. For devices, this is the device that is actually performing 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"/> 
        RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10
         is deprecated)

        <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 performed the medication administration"/> 
      <definition value="Indicates who or what performed the medication administration."/> 
      <min value="1"/> 
      <max value="1"/> 
      <type> 
        <code value="Reference"/> 
        <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> 
    
      
      
      
      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=&quot;reason
         for use ASSERTION&quot;].value
      
      
        
        
      
    

    <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."/> 
      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.

      <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-&gt;SubstanceAdministration"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.device">
      <path value="MedicationAdministration.device"/> 
      <short value="Device used to administer"/> 
      The device used in administering the medication to the patient.  For example, a particular
       infusion pump.

      <definition value="The device used in administering the medication to the patient.  For example, a
       particular infusion pump."/> 

      <min value="0"/> 
      <max value="*"/> 
      <type> 
        <code value="Reference"/> 
        <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-&gt;Access  OR device-&gt;AssignedDevice"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.note">
      <path value="MedicationAdministration.note"/> 
      <short value="Information about the administration"/> 
      Extra information about the medication administration that is not conveyed by the other
       attributes.

      <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"/> 
        .inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].v
        alue

        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;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-&gt;SubstanceAdministrationEvent"/> 
      </mapping> 
    </element> 
    <element id="MedicationAdministration.dosage.text">
      <path value="MedicationAdministration.dosage.text"/> 
      <short value="Free text dosage instructions e.g. SIG"/> 
      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.

      <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> 
      <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"/> 
      A coded specification of the anatomic site where the medication first entered the body.
        For example, &quot;left arm&quot;.
      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.

      <definition value="A coded specification of the anatomic site where the medication first entered the
       body.  For example, &quot;left arm&quot;."/> 
      <comment value="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."/> 

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

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

        <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"/> 
      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.

      <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"/> 
      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.

      <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> 
      <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"/> 
      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.

      <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.

       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> 
      <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."/> 
      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.

      <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.