PackagesCanonicalsLogsProblems
    Packages
    hl7.fhir.r4.id.core@0.1.0
    https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationAdministration
{
  "description": "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.",
  "_filename": "MedicationAdministration.json",
  "package_name": "hl7.fhir.r4.id.core",
  "date": "2019-11-01T09:29:23+11:00",
  "derivation": "specialization",
  "meta": {
    "lastUpdated": "2021-12-31T09:57:31.811+00:00"
  },
  "publisher": "Health Level Seven International (Pharmacy)",
  "fhirVersion": "4.0.1",
  "name": "MedicationAdministration",
  "mapping": [ {
    "uri": "http://hl7.org/fhir/workflow",
    "name": "Workflow Pattern",
    "identity": "workflow"
  }, {
    "uri": "http://hl7.org/v3",
    "name": "RIM Mapping",
    "identity": "rim"
  }, {
    "uri": "http://hl7.org/fhir/fivews",
    "name": "FiveWs Pattern Mapping",
    "identity": "w5"
  }, {
    "uri": "http://hl7.org/v2",
    "name": "HL7 v2 Mapping",
    "identity": "v2"
  }, {
    "uri": "http://www.w3.org/ns/prov",
    "name": "W3C PROV",
    "identity": "w3c.prov"
  } ],
  "abstract": false,
  "type": "MedicationAdministration",
  "experimental": null,
  "resourceType": "StructureDefinition",
  "title": null,
  "package_version": "0.1.0",
  "extension": [ {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-category",
    "valueString": "Clinical.Medications"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status",
    "valueCode": "trial-use"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm",
    "valueInteger": 2
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category",
    "valueCode": "patient"
  }, {
    "url": "http://hl7.org/fhir/StructureDefinition/structuredefinition-wg",
    "valueCode": "phx"
  } ],
  "status": "draft",
  "id": "13b3aa96-4c1c-43fd-b46d-0673a6eea28e",
  "kind": "resource",
  "url": "https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationAdministration",
  "version": "4.0.1",
  "differential": {
    "element": [ {
      "id": "MedicationAdministration",
      "path": "MedicationAdministration",
      "short": "Administration of medication to a patient",
      "mapping": [ {
        "map": "Event",
        "identity": "workflow"
      }, {
        "map": "SubstanceAdministration",
        "identity": "rim"
      } ],
      "definition": "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."
    }, {
      "id": "MedicationAdministration.identifier",
      "path": "MedicationAdministration.identifier",
      "type": [ {
        "code": "Identifier"
      } ],
      "short": "External identifier",
      "comment": "This is a business identifier, not a resource identifier.",
      "mapping": [ {
        "map": "Event.identifier",
        "identity": "workflow"
      }, {
        "map": "FiveWs.identifier",
        "identity": "w5"
      }, {
        "map": ".id",
        "identity": "rim"
      } ],
      "definition": "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."
    }, {
      "id": "MedicationAdministration.instantiates",
      "path": "MedicationAdministration.instantiates",
      "type": [ {
        "code": "uri"
      } ],
      "short": "Instantiates protocol or definition",
      "mapping": [ {
        "map": "Event.instantiates",
        "identity": "workflow"
      }, {
        "map": ".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]",
        "identity": "rim"
      } ],
      "isSummary": true,
      "definition": "A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event."
    }, {
      "id": "MedicationAdministration.partOf",
      "path": "MedicationAdministration.partOf",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", "http://hl7.org/fhir/StructureDefinition/Procedure" ]
      } ],
      "short": "Part of referenced event",
      "mapping": [ {
        "map": "Event.partOf",
        "identity": "workflow"
      }, {
        "map": ".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]",
        "identity": "rim"
      } ],
      "isSummary": true,
      "definition": "A larger event of which this particular event is a component or step."
    }, {
      "path": "MedicationAdministration.status",
      "min": 1,
      "definition": "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.",
      "isModifier": true,
      "short": "in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown",
      "mapping": [ {
        "map": "Event.status",
        "identity": "workflow"
      }, {
        "map": "FiveWs.status",
        "identity": "w5"
      }, {
        "map": "RXA-20-Completion Status",
        "identity": "v2"
      }, {
        "map": ".statusCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "code"
      } ],
      "binding": {
        "strength": "required",
        "valueSet": "http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationStatus"
        } ],
        "description": "A set of codes indicating the current status of a MedicationAdministration."
      },
      "max": "1",
      "id": "MedicationAdministration.status",
      "comment": "This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid.",
      "isModifierReason": "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": true
    }, {
      "id": "MedicationAdministration.statusReason",
      "path": "MedicationAdministration.statusReason",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Reason administration not performed",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationNegationReason"
        } ],
        "description": "A set of codes indicating the reason why the MedicationAdministration is negated."
      },
      "mapping": [ {
        "map": "Event.statusReason",
        "identity": "workflow"
      }, {
        "map": "RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason",
        "identity": "v2"
      }, {
        "map": ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason not given\"].value",
        "identity": "rim"
      } ],
      "definition": "A code indicating why the administration was not performed."
    }, {
      "id": "MedicationAdministration.category",
      "max": "1",
      "path": "MedicationAdministration.category",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Type of medication usage",
      "binding": {
        "strength": "preferred",
        "valueSet": "http://hl7.org/fhir/ValueSet/medication-admin-category",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationCategory"
        } ],
        "description": "A coded concept describing where the medication administered is expected to occur."
      },
      "mapping": [ {
        "map": ".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=\"type of medication usage\"].value",
        "identity": "rim"
      } ],
      "definition": "Indicates where the medication is expected to be consumed or administered."
    }, {
      "path": "MedicationAdministration.medication[x]",
      "min": 1,
      "definition": "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.",
      "short": "What was administered",
      "mapping": [ {
        "map": "Event.code",
        "identity": "workflow"
      }, {
        "map": "FiveWs.what[x]",
        "identity": "w5"
      }, {
        "map": "RXA-5-Administered Code",
        "identity": "v2"
      }, {
        "map": ".participation[typeCode=CSM].role[classCode=ADMM]",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      }, {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ]
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/medication-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationCode"
        } ],
        "description": "Codes identifying substance or product that can be administered."
      },
      "max": "1",
      "id": "MedicationAdministration.medication[x]",
      "comment": "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.",
      "isSummary": true
    }, {
      "path": "MedicationAdministration.subject",
      "min": 1,
      "definition": "The person or animal or group receiving the medication.",
      "short": "Who received medication",
      "mapping": [ {
        "map": "Event.subject",
        "identity": "workflow"
      }, {
        "map": "FiveWs.subject[x]",
        "identity": "w5"
      }, {
        "map": "PID-3-Patient ID List",
        "identity": "v2"
      }, {
        "map": ".participation[typeCode=SBJ].role[classCode=PAT]",
        "identity": "rim"
      }, {
        "map": "FiveWs.subject",
        "identity": "w5"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ]
      } ],
      "max": "1",
      "id": "MedicationAdministration.subject",
      "isSummary": true
    }, {
      "id": "MedicationAdministration.context",
      "max": "1",
      "path": "MedicationAdministration.context",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Encounter", "http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" ]
      } ],
      "short": "Encounter or Episode of Care administered as part of",
      "mapping": [ {
        "map": "Event.context",
        "identity": "workflow"
      }, {
        "map": "FiveWs.context",
        "identity": "w5"
      }, {
        "map": "PV1-19-Visit Number",
        "identity": "v2"
      }, {
        "map": ".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=\"type of encounter or episode\"]",
        "identity": "rim"
      } ],
      "definition": "The visit, admission, or other contact between patient and health care provider during which the medication administration was performed."
    }, {
      "id": "MedicationAdministration.supportingInformation",
      "path": "MedicationAdministration.supportingInformation",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Resource" ]
      } ],
      "short": "Additional information to support administration",
      "mapping": [ {
        "map": "FiveWs.context",
        "identity": "w5"
      }, {
        "map": ".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)]",
        "identity": "rim"
      } ],
      "definition": "Additional information (for example, patient height and weight) that supports the administration of the medication."
    }, {
      "path": "MedicationAdministration.effective[x]",
      "min": 1,
      "definition": "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.",
      "short": "Start and end time of administration",
      "mapping": [ {
        "map": "Event.occurrence[x]",
        "identity": "workflow"
      }, {
        "map": "FiveWs.done[x]",
        "identity": "w5"
      }, {
        "map": "RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration",
        "identity": "v2"
      }, {
        "map": ".effectiveTime",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "dateTime"
      }, {
        "code": "Period"
      } ],
      "max": "1",
      "id": "MedicationAdministration.effective[x]",
      "isSummary": true
    }, {
      "id": "MedicationAdministration.performer",
      "path": "MedicationAdministration.performer",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Who performed the medication administration and what they did",
      "mapping": [ {
        "map": "Event.performer",
        "identity": "workflow"
      }, {
        "map": "FiveWs.actor",
        "identity": "w5"
      }, {
        "map": "RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)",
        "identity": "v2"
      }, {
        "map": ".participation[typeCode=PRF]",
        "identity": "rim"
      } ],
      "isSummary": true,
      "definition": "Indicates who or what performed the medication administration and how they were involved."
    }, {
      "id": "MedicationAdministration.performer.function",
      "max": "1",
      "path": "MedicationAdministration.performer.function",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Type of performance",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/med-admin-perform-function",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationPerformerFunction"
        } ],
        "description": "A code describing the role an individual played in administering the medication."
      },
      "mapping": [ {
        "map": "Event.performer.function",
        "identity": "workflow"
      }, {
        "map": "participation[typeCode=PRF].functionCode",
        "identity": "rim"
      } ],
      "definition": "Distinguishes the type of involvement of the performer in the medication administration."
    }, {
      "path": "MedicationAdministration.performer.actor",
      "min": 1,
      "definition": "Indicates who or what performed the medication administration.",
      "short": "Who performed the medication administration",
      "mapping": [ {
        "map": "Event.performer.actor",
        "identity": "workflow"
      }, {
        "map": ".role",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Practitioner", "http://hl7.org/fhir/StructureDefinition/PractitionerRole", "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/RelatedPerson", "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "max": "1",
      "id": "MedicationAdministration.performer.actor",
      "isSummary": true
    }, {
      "id": "MedicationAdministration.reasonCode",
      "path": "MedicationAdministration.reasonCode",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Reason administration performed",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/reason-medication-given-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationReason"
        } ],
        "description": "A set of codes indicating the reason why the MedicationAdministration was made."
      },
      "mapping": [ {
        "map": "Event.reasonCode",
        "identity": "workflow"
      }, {
        "map": "RXE-27 Give Indication",
        "identity": "v2"
      }, {
        "map": ".reasonCode",
        "identity": "rim"
      } ],
      "definition": "A code indicating why the medication was given."
    }, {
      "id": "MedicationAdministration.reasonReference",
      "path": "MedicationAdministration.reasonReference",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Condition", "http://hl7.org/fhir/StructureDefinition/Observation", "http://hl7.org/fhir/StructureDefinition/DiagnosticReport" ]
      } ],
      "short": "Condition or observation that supports why the medication was administered",
      "comment": "This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode.",
      "mapping": [ {
        "map": "Event.reasonReference",
        "identity": "workflow"
      }, {
        "map": "FiveWs.why[x]",
        "identity": "w5"
      }, {
        "map": ".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=\"reason for use ASSERTION\"].value",
        "identity": "rim"
      }, {
        "map": "no mapping",
        "identity": "w3c.prov"
      } ],
      "definition": "Condition or observation that supports why the medication was administered."
    }, {
      "id": "MedicationAdministration.request",
      "max": "1",
      "path": "MedicationAdministration.request",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/MedicationRequest" ]
      } ],
      "short": "Request administration performed against",
      "comment": "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.",
      "mapping": [ {
        "map": "Event.basedOn",
        "identity": "workflow"
      }, {
        "map": "ORC-2-Placer Order Number / ORC-3-Filler Order Number",
        "identity": "v2"
      }, {
        "map": "InFullfillmentOf->SubstanceAdministration",
        "identity": "rim"
      } ],
      "definition": "The original request, instruction or authority to perform the administration."
    }, {
      "id": "MedicationAdministration.device",
      "path": "MedicationAdministration.device",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Device" ]
      } ],
      "short": "Device used to administer",
      "mapping": [ {
        "map": "PRT-10 Participation Device / RXR-3 Administrative Device",
        "identity": "v2"
      }, {
        "map": "device->Access  OR device->AssignedDevice",
        "identity": "rim"
      } ],
      "definition": "The device used in administering the medication to the patient.  For example, a particular infusion pump."
    }, {
      "id": "MedicationAdministration.note",
      "path": "MedicationAdministration.note",
      "type": [ {
        "code": "Annotation"
      } ],
      "short": "Information about the administration",
      "mapping": [ {
        "map": "Event.note",
        "identity": "workflow"
      }, {
        "map": ".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=\"annotation\"].value",
        "identity": "rim"
      } ],
      "definition": "Extra information about the medication administration that is not conveyed by the other attributes."
    }, {
      "id": "MedicationAdministration.dosage",
      "max": "1",
      "path": "MedicationAdministration.dosage",
      "type": [ {
        "code": "BackboneElement"
      } ],
      "short": "Details of how medication was taken",
      "mapping": [ {
        "map": "component->SubstanceAdministrationEvent",
        "identity": "rim"
      } ],
      "constraint": [ {
        "key": "mad-1",
        "human": "SHALL have at least one of dosage.dose or dosage.rate[x]",
        "xpath": "exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])",
        "source": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
        "severity": "error",
        "expression": "dose.exists() or rate.exists()"
      } ],
      "definition": "Describes the medication dosage information details e.g. dose, rate, site, route, etc."
    }, {
      "id": "MedicationAdministration.dosage.text",
      "max": "1",
      "path": "MedicationAdministration.dosage.text",
      "type": [ {
        "code": "string"
      } ],
      "short": "Free text dosage instructions e.g. SIG",
      "mapping": [ {
        "map": ".text",
        "identity": "rim"
      } ],
      "definition": "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.\r\rThe dosage instructions should reflect the dosage of the medication that was administered."
    }, {
      "path": "MedicationAdministration.dosage.site",
      "definition": "A coded specification of the anatomic site where the medication first entered the body.  For example, \"left arm\".",
      "short": "Body site administered to",
      "mapping": [ {
        "map": "RXR-2 Administration Site / RXR-6 Administration Site Modifier",
        "identity": "v2"
      }, {
        "map": ".approachSiteCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/approach-site-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationSite"
        } ],
        "description": "A coded concept describing the site location the medicine enters into or onto the body."
      },
      "max": "1",
      "id": "MedicationAdministration.dosage.site",
      "comment": "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."
    }, {
      "id": "MedicationAdministration.dosage.route",
      "max": "1",
      "path": "MedicationAdministration.dosage.route",
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "short": "Path of substance into body",
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/route-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "RouteOfAdministration"
        } ],
        "description": "A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject."
      },
      "mapping": [ {
        "map": "RXR-1-Route",
        "identity": "v2"
      }, {
        "map": ".routeCode",
        "identity": "rim"
      } ],
      "definition": "A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc."
    }, {
      "path": "MedicationAdministration.dosage.method",
      "definition": "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.",
      "short": "How drug was administered",
      "mapping": [ {
        "map": "RXR-4-Administration Method",
        "identity": "v2"
      }, {
        "map": ".methodCode",
        "identity": "rim"
      } ],
      "type": [ {
        "code": "CodeableConcept"
      } ],
      "binding": {
        "strength": "example",
        "valueSet": "http://hl7.org/fhir/ValueSet/administration-method-codes",
        "extension": [ {
          "url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
          "valueString": "MedicationAdministrationMethod"
        } ],
        "description": "A coded concept describing the technique by which the medicine is administered."
      },
      "max": "1",
      "id": "MedicationAdministration.dosage.method",
      "comment": "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."
    }, {
      "id": "MedicationAdministration.dosage.dose",
      "max": "1",
      "path": "MedicationAdministration.dosage.dose",
      "type": [ {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Amount of medication per dose",
      "comment": "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.",
      "mapping": [ {
        "map": "RXA-6 Administered Amount / RXA-7 Administered Units",
        "identity": "v2"
      }, {
        "map": ".doseQuantity",
        "identity": "rim"
      } ],
      "definition": "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."
    }, {
      "id": "MedicationAdministration.dosage.rate[x]",
      "max": "1",
      "path": "MedicationAdministration.dosage.rate[x]",
      "type": [ {
        "code": "Ratio"
      }, {
        "code": "Quantity",
        "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ]
      } ],
      "short": "Dose quantity per unit of time",
      "comment": "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.",
      "mapping": [ {
        "map": "RXA-12-Administered Per (Time Unit)",
        "identity": "v2"
      }, {
        "map": ".rateQuantity",
        "identity": "rim"
      } ],
      "definition": "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."
    }, {
      "id": "MedicationAdministration.eventHistory",
      "path": "MedicationAdministration.eventHistory",
      "type": [ {
        "code": "Reference",
        "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Provenance" ]
      } ],
      "short": "A list of events of interest in the lifecycle",
      "comment": "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.",
      "mapping": [ {
        "map": ".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]",
        "identity": "rim"
      } ],
      "definition": "A summary of the events of interest that have occurred, such as when the administration was verified."
    } ]
  },
  "contact": [ {
    "telecom": [ {
      "value": "http://hl7.org/fhir",
      "system": "url"
    } ]
  }, {
    "telecom": [ {
      "value": "http://www.hl7.org/Special/committees/medication/index.cfm",
      "system": "url"
    } ]
  } ],
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/DomainResource"
}