description: Defines constraints and extensions on the MedicationAdministration resource when used by a Prescription Drug Monitoring Program (PDMP) to return an individual's medication administration history.
package_name: hl7.fhir.us.pdmp.r4b
derivation: constraint
name: PdmpMedicationAdministration
type: MedicationAdministration
elements:
  request:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medicationrequest']
    index: 22
  dosage:
    mustSupport: true
    index: 23
    elements:
      text: {mustSupport: true, index: 24}
      dose:
        mustSupport: true
        index: 25
        elements:
          value: {mustSupport: true, index: 26}
          unit: {mustSupport: true, index: 27}
          system: {mustSupport: true, index: 28}
          code: {mustSupport: true, index: 29}
        required: [value, unit]
    required: [dose]
  medication[x]:
    elements:
      coding:
        elements:
          userSelected: {mustSupport: true, index: 10}
  medicationCodeableConcept:
    type: CodeableConcept
    choiceOf: medication
    index: 9
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, choiceOf: medication, index: 9}
          min: 0
          max: 1
  extension:
    index: 0
    slicing:
      rules: open
      ordered: false
      discriminator:
      - {path: url, type: value}
      min: null
      slices:
        rx-transmission-method:
          match: {url: null}
          schema: {type: Extension, mustSupport: true, url: 'http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method', index: 1}
          min: 0
          max: 1
  status:
    binding: {strength: required, valueSet: 'http://hl7.org/fhir/ValueSet/medication-admin-status'}
    mustSupport: true
    index: 2
  effective:
    mustSupport: true
    choices: []
    index: 14
  context:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-encounter']
    index: 12
  medicationReference:
    type: Reference
    mustSupport: true
    choiceOf: medication
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-medication']
    index: 6
  subject:
    type: Reference
    mustSupport: true
    refers: ['http://hl7.org/fhir/us/core/StructureDefinition/us-core-patient']
    index: 11
  performer:
    mustSupport: true
    index: 15
    elements:
      actor:
        constraint:
          pdmp-administration-performer: {human: MedicationAdministration SHALL include a performer actor reference or performer actor identifier, source: 'http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationadministration', severity: error, expression: reference.exists() or identifier.exists()}
        mustSupport: true
        index: 16
        elements:
          reference: {mustSupport: true, index: 17}
          identifier:
            mustSupport: true
            index: 18
            elements:
              system: {mustSupport: true, index: 19}
              value: {mustSupport: true, index: 20}
            required: [value, system]
          display: {mustSupport: true, index: 21}
  medication:
    choices: [medicationCodeableConcept]
    index: 8
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            choices: [medicationCodeableConcept]
            index: 8
          min: 0
          max: 1
package_version: 1.0.0
extensions:
  rx-transmission-method: {url: 'http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-extension-rx-transmission-method', min: 0, max: 1, type: Extension, mustSupport: true, index: 1}
class: profile
kind: resource
url: http://hl7.org/fhir/us/pdmp/StructureDefinition/pdmp-medicationadministration
base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
version: 1.0.0
required: [dosage, performer]