CH EMED (R4)
5.0.0-ballot - ballot Switzerland flag

This page is part of the CH EMED (R4) (v5.0.0-ballot: STU 5 Ballot 1) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions

Resource Profile: CH EMED MedicationAdministration (LIST)

Official URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-medicationadministration-list Version: 5.0.0-ballot
Active as of 2024-05-16 Computable Name: CHEMEDMedicationAdministrationList

Copyright/Legal: CC0-1.0

Definition of the medication administration for the medication list document

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from CHEMEDMedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... Slices for extension Content/Rules for all slices
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 1..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
.... pharmaceuticalAdvice 0..1 (Complex) Reference to the pharmaceutical advice
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
.... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... identifier 1..1 Identifier MedicationAdministration Identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.


Fixed Value: completed
... Slices for medication[x] Σ 1..1 What was administered
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED Medication (MedicationDispense)) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] Σ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 1..1 BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(CH EMED PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... dosage C 1..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route 0..1 CodeableConcept Route of administration
Binding: EDQM - RouteOfAdministration (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... dose SC 0..1 CHCoreQuantityWithEmedUnits Amount of medication administered
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationAdministration.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationAdministration.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.dosage.routerequiredRouteOfAdministrationEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 1..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
.... pharmaceuticalAdvice 0..1 (Complex) Reference to the pharmaceutical advice
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
.... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 1..1 Identifier MedicationAdministration Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.


Fixed Value: completed
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1 CodeableConcept Type of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... Slices for medication[x] Σ 1..1 What was administered
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED Medication (MedicationDispense)) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] Σ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 1..1 BackboneElement Who performed the medication administration and what they did
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ 1..1 Reference(CH EMED PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Treatment reason
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request 0..1 Reference(MedicationRequest) Request administration performed against
... device 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage C 1..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1 CodeableConcept Route of administration
Binding: EDQM - RouteOfAdministration (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept Administration method
Binding: EDQM - Administration Method (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... dose SC 0..1 CHCoreQuantityWithEmedUnits Amount of medication administered
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio(CHCoreRatioWithEmedUnits)
..... rateQuantity Quantity(CHCoreQuantityWithEmedUnits)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationAdministration.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
http://hl7.org/fhir/ValueSet/medication-admin-category
from the FHIR Standard
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.performer.actor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routerequiredRouteOfAdministrationEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
MedicationAdministration.dosage.methodrequiredAdministrationMethodEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

Differential View

This structure is derived from CHEMEDMedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... Slices for extension Content/Rules for all slices
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author

doco Documentation for this format

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... contained 1..* Resource Contained, inline Resources
... Slices for extension Content/Rules for all slices
.... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
.... pharmaceuticalAdvice 0..1 (Complex) Reference to the pharmaceutical advice
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
.... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... identifier 1..1 Identifier MedicationAdministration Identifier
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.


Fixed Value: completed
... Slices for medication[x] Σ 1..1 What was administered
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED Medication (MedicationDispense)) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... effective[x] Σ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 1..1 BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(CH EMED PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
... dosage C 1..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... route 0..1 CodeableConcept Route of administration
Binding: EDQM - RouteOfAdministration (required)
..... coding SΣ 1..* Coding Code defined by a terminology system
...... system Σ 1..1 uri Identity of the terminology system
...... code Σ 1..1 code Symbol in syntax defined by the system
.... dose SC 0..1 CHCoreQuantityWithEmedUnits Amount of medication administered
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationAdministration.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationAdministration.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.dosage.routerequiredRouteOfAdministrationEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* CHEMEDMedicationAdministration CH EMED MedicationAdministration (LIST)
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 1..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... prescription 0..1 (Complex) Reference to the medication prescription
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-prescription
.... pharmaceuticalAdvice 0..1 (Complex) Reference to the pharmaceutical advice
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-pharmaceuticaladvice
.... treatmentPlan 0..1 (Complex) Reference to the medication treatment plan
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-treatmentplan
.... parentDocument 0..1 (Complex) Reference to the parent document
URL: http://fhir.ch/ig/ch-emed/StructureDefinition/ch-emed-ext-dispense
.... authorDocument 0..1 Reference(CH Core Patient | CH Core PractitionerRole | RelatedPerson) Author of the original document if different from the author of the medical decision (MedicationAdministration.performer.actor), see also 'Guidance - Authorship'
URL: http://fhir.ch/ig/ch-core/StructureDefinition/ch-ext-author
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 1..1 Identifier MedicationAdministration Identifier
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... use ?!Σ 0..1 code usual | official | temp | secondary | old (If known)
Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .

.... type Σ 0..1 CodeableConcept Description of identifier
Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.

.... system Σ 1..1 uri The namespace for the identifier value
Fixed Value: urn:ietf:rfc:3986
.... value Σ 1..1 string Identifier value as UUID
Example General: 123456
Example CH EMED: urn:uuid:daa8cd41-34a1-4a9c-9a6d-cd3f850142e9
.... period Σ 0..1 Period Time period when id is/was valid for use
.... assigner Σ 0..1 Reference(Organization) Organization that issued id (may be just text)
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(MedicationAdministration | Procedure) Part of referenced event
... status ?!Σ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.


Fixed Value: completed
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1 CodeableConcept Type of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... Slices for medication[x] Σ 1..1 What was administered
Slice: Unordered, Open by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(CH Core Medication)
.... medication[x]:medicationReference Σ 0..1 Reference(CH EMED Medication (MedicationDispense)) {c} Reference to the contained medication
... subject Σ 1..1 Reference(CH Core Patient) Patient
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
.... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

.... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
.... display Σ 0..1 string Text alternative for the resource
... context 0..1 Reference(Encounter | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] Σ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 1..1 BackboneElement Who performed the medication administration and what they did
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ 1..1 Reference(CH EMED PractitionerRole) The author of the medical decision, see also 'Guidance - Authorship'
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... reference ΣC 1..1 string Literal reference, Relative, internal or absolute URL
..... type Σ 0..1 uri Type the reference refers to (e.g. "Patient")
Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).

..... identifier Σ 0..1 Identifier Logical reference, when literal reference is not known
..... display Σ 0..1 string Text alternative for the resource
... reasonCode 0..* CodeableConcept Treatment reason
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request 0..1 Reference(MedicationRequest) Request administration performed against
... device 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage C 1..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1 CodeableConcept Route of administration
Binding: EDQM - RouteOfAdministration (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding SΣ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept Administration method
Binding: EDQM - Administration Method (required)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... coding Σ 1..* Coding Code defined by a terminology system
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... system Σ 1..1 uri Identity of the terminology system
...... version Σ 0..1 string Version of the system - if relevant
...... code Σ 1..1 code Symbol in syntax defined by the system
...... display Σ 0..1 string Representation defined by the system
...... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... dose SC 0..1 CHCoreQuantityWithEmedUnits Amount of medication administered
qty-3: If a code for the unit is present, the system SHALL also be present
sqty-1: The comparator is not used on a SimpleQuantity
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio(CHCoreRatioWithEmedUnits)
..... rateQuantity Quantity(CHCoreQuantityWithEmedUnits)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet / CodeURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.identifier.userequiredIdentifierUse
http://hl7.org/fhir/ValueSet/identifier-use|4.0.1
from the FHIR Standard
MedicationAdministration.identifier.typeextensibleIdentifier Type Codes
http://hl7.org/fhir/ValueSet/identifier-type
from the FHIR Standard
MedicationAdministration.statusrequiredFixed Value: completed
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
http://hl7.org/fhir/ValueSet/medication-admin-category
from the FHIR Standard
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.subject.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.performer.actor.typeextensibleResourceType
http://hl7.org/fhir/ValueSet/resource-types
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routerequiredRouteOfAdministrationEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-routeofadministration
MedicationAdministration.dosage.methodrequiredAdministrationMethodEDQM
http://fhir.ch/ig/ch-term/ValueSet/edqm-administrationmethod

Constraints

IdGradePath(s)DetailsRequirements
dom-2errorMedicationAdministrationIf the resource is contained in another resource, it SHALL NOT contain nested Resources
: contained.contained.empty()
dom-3errorMedicationAdministrationIf the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource
: contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated
: contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5errorMedicationAdministrationIf a resource is contained in another resource, it SHALL NOT have a security label
: contained.meta.security.empty()
dom-6best practiceMedicationAdministrationA resource should have narrative for robust management
: text.`div`.exists()
ele-1error**ALL** elementsAll FHIR elements must have a @value or children
: hasValue() or (children().count() > id.count())
ext-1error**ALL** extensionsMust have either extensions or value[x], not both
: extension.exists() != value.exists()
mad-1errorMedicationAdministration.dosageSHALL have at least one of dosage.dose or dosage.rate[x]
: dose.exists() or rate.exists()
qty-3errorMedicationAdministration.dosage.doseIf a code for the unit is present, the system SHALL also be present
: code.empty() or system.exists()
sqty-1errorMedicationAdministration.dosage.doseThe comparator is not used on a SimpleQuantity
: comparator.empty()

 

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