description: This profile contains Required and Must Support data elements for reporting medication administration information to the NHSN Acute Care Hospital (ACH) Monthly Digital Quality Measure. This profile is based on the [HL7 FHIR® R4 MedicationAdministration Resource v4.0.1](http://hl7.org/fhir/R4/medicationadministration.html).
package_name: gov.cdc.nhsn.dqm
derivation: constraint
name: AcuteCareHospitalMonthlyReportingMedicationAdministration
type: MedicationAdministration
elements:
  category:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/medication-admin-category'}
    mustSupport: true
    index: 3
  request: {mustSupport: true, index: 16}
  meta:
    extensions:
      link-received-date-extension: {url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', min: 0, max: 1, type: Extension, index: 1}
    elements:
      extension:
        type: Extension
        url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
        index: 1
        slicing:
          slices:
            link-received-date-extension:
              match: {}
              schema: {type: Extension, url: 'http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension', index: 1}
              min: 0
              max: 1
  dosage:
    index: 17
    elements:
      route:
        binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/route-codes'}
        index: 18
      method: {mustSupport: true, index: 19}
      dose: {index: 20}
    required: [route, dose]
  medication[x]:
    elements:
      reference: {mustSupport: true, index: 9}
    required: [reference]
  reasonCode: {mustSupport: true, index: 13}
  statusReason:
    binding: {strength: extensible, valueSet: 'http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes'}
    mustSupport: true
    index: 2
  id: {index: 0}
  context:
    mustSupport: true
    index: 11
    elements:
      reference: {mustSupport: true, index: 12}
    required: [reference]
  medicationReference:
    type: Reference
    choiceOf: medication
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    index: 8
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            type: Reference
            choiceOf: medication
            refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
            index: 8
          min: 0
          max: 1
  subject:
    elements:
      reference: {mustSupport: true, index: 10}
    required: [reference]
  medication:
    choices: []
    index: 5
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: $this, type: type}
      min: null
      slices:
        medicationReference:
          match: {}
          schema:
            choices: [medicationReference]
            index: 7
          min: 0
          max: 1
  reasonReference:
    mustSupport: true
    index: 14
    elements:
      reference: {mustSupport: true, index: 15}
    required: [reference]
package_version: 1.0.0
class: profile
kind: resource
url: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration
base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
version: 1.0.0
required: [dosage, id]