description: Base StructureDefinition for MedicationAdministration Resource package_name: hl7.fhir.core derivation: specialization name: MedicationAdministration type: null elements: patient: {type: Reference, short: Who received medication, isSummary: true, index: 6} effectiveTimeDateTime: {short: Start and end time of administration, type: dateTime, choiceOf: effectiveTime, isSummary: true, index: 10} effectiveTimePeriod: {short: Start and end time of administration, type: Period, choiceOf: effectiveTime, isSummary: true, index: 11} dosage: constraint: mad-1: {human: 'SHALL have at least one of dosage.quantity and dosage.rate[x]', severity: error, expression: quantity or rate} short: Details of how medication was taken type: BackboneElement isSummary: true index: 19 elements: site: short: Body site administered to choices: [siteCodeableConcept, siteReference] isSummary: true index: 22 rateRange: {short: Dose quantity per unit of time, comments: '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.', type: Range, choiceOf: rate, isSummary: true, index: 31} method: {short: How drug was administered, comments: '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.', type: CodeableConcept, isSummary: true, index: 26} route: {short: Path of substance into body, type: CodeableConcept, isSummary: true, index: 25} rate: short: Dose quantity per unit of time comments: 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. choices: [rateRatio, rateRange] isSummary: true index: 29 siteCodeableConcept: {short: Body site administered to, type: CodeableConcept, choiceOf: site, isSummary: true, index: 23} rateRatio: {short: Dose quantity per unit of time, comments: '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.', type: Ratio, choiceOf: rate, isSummary: true, index: 30} siteReference: {short: Body site administered to, type: Reference, choiceOf: site, isSummary: true, index: 24} quantity: {short: Amount administered in one dose, comments: 'If the administration is not instantaneous (rate is present or timing has a duration), this can be specified to convey the total amount administered over period of time of a single administration (as indicated by schedule).', type: Quantity, isSummary: true, index: 27} text: {type: string, short: Free text dosage instructions e.g. SIG, isSummary: true, index: 20} encounter: {type: Reference, short: Encounter administered as part of, isSummary: true, index: 7} medicationCodeableConcept: {short: What was administered, comments: '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. Note: do not use Medication.name to describe the administered medication. When the only available information is a text description of the medication, Medication.code.text should be used.', type: CodeableConcept, choiceOf: medication, isSummary: true, index: 4} note: {type: Annotation, short: Information about the administration, isSummary: true, array: true, index: 18} reasonNotGiven: {short: Reason administration not performed, type: CodeableConcept, array: true, isSummary: true, index: 15} status: {isModifier: true, short: in-progress | on-hold | completed | entered-in-error | stopped, type: code, isSummary: true, index: 1} prescription: {type: Reference, short: Order administration performed against, isSummary: true, index: 13} identifier: {type: Identifier, short: External identifier, isSummary: true, array: true, index: 0} practitioner: {type: Reference, short: Who administered substance, isSummary: true, index: 12} effectiveTime: short: Start and end time of administration isSummary: true choices: [effectiveTimeDateTime, effectiveTimePeriod] index: 9 wasNotGiven: {isModifier: true, short: True if medication not administered, type: boolean, meaningWhenMissing: 'If this is missing, then the medication was administered', isSummary: true, index: 14} device: {type: Reference, short: Device used to administer, isSummary: true, array: true, index: 17} reasonGiven: {short: Reason administration performed, type: CodeableConcept, array: true, isSummary: true, index: 16} medicationReference: {short: What was administered, comments: '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. Note: do not use Medication.name to describe the administered medication. When the only available information is a text description of the medication, Medication.code.text should be used.', type: Reference, choiceOf: medication, isSummary: true, index: 5} medication: short: What was administered comments: '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. Note: do not use Medication.name to describe the administered medication. When the only available information is a text description of the medication, Medication.code.text should be used.' choices: [medicationCodeableConcept, medicationReference] isSummary: true index: 3 package_version: 1.4.0 class: resource kind: resource url: http://hl7.org/fhir/StructureDefinition/MedicationAdministration base: http://hl7.org/fhir/StructureDefinition/DomainResource version: null required: [effectiveTimeDateTime, medicationCodeableConcept, effectiveTime, status, medication, patient, medicationReference, effectiveTimePeriod]