description: Dieses Profil beschreibt Medikamentenverabreichungen, einschließlich der Selbstverabreichung von oralen Medikamenten, Injektionen, intravenösen Gaben etc.
package_name: de.medizininformatikinitiative.kerndatensatz.medikation
derivation: constraint
name: MII_PR_Medikation_MedicationAdministration
type: MedicationAdministration
elements:
  category:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kategorie}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Category}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: 'Eine Kategorie, die der Medikationsverabreichung zugeordnet ist.'}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: A category assigned to the medication administration.}
    mustSupport: true
    index: 7
  request:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verordnung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Request}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Verordnung zur Medikationsverabreichung.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Request administration performed against.}
    mustSupport: true
    index: 40
  meta:
    mustSupport: true
    index: 1
    elements:
      source: {mustSupport: true, index: 2}
      profile: {mustSupport: true, index: 3}
  dosage:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Dosierung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Dosage}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: 'Details der Medikamentendosierung, wie Dosis, Menge, Applikationsort, Verabreichungsweg, etc.'}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: 'Describes the medication dosage information details e.g. dose, rate, site, route, etc.'}
    mustSupport: true
    index: 42
    elements:
      text: {mustSupport: true, index: 43}
      site:
        mustSupport: true
        index: 44
        elements:
          coding:
            mustSupport: true
            index: 45
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                SNOMED:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    binding: {strength: example, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    array: true
                    index: 46
                    elements:
                      system: {mustSupport: true, index: 47}
                      code: {mustSupport: true, index: 48}
                    required: [system, code]
      route:
        mustSupport: true
        index: 49
        elements:
          coding:
            binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'}
            mustSupport: true
            index: 50
            slicing:
              rules: open
              discriminator:
              - {path: $this, type: pattern}
              min: null
              slices:
                EDQM:
                  match: {system: 'http://standardterms.edqm.eu'}
                  schema:
                    binding: {strength: preferred, valueSet: 'http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration'}
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://standardterms.edqm.eu'}
                    index: 51
                    elements:
                      system: {mustSupport: true, index: 52}
                      code: {mustSupport: true, index: 53}
                    required: [system, code]
                SNOMED:
                  match: {system: 'http://snomed.info/sct'}
                  schema:
                    mustSupport: true
                    pattern:
                      type: Coding
                      value: {system: 'http://snomed.info/sct'}
                    index: 54
                    elements:
                      system: {mustSupport: true, index: 55}
                      code: {mustSupport: true, index: 56}
                    required: [system, code]
      dose:
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        index: 57
        elements:
          value: {mustSupport: true, index: 58}
          unit: {mustSupport: true, index: 59}
          system: {mustSupport: true, index: 60}
          code: {mustSupport: true, index: 61}
        required: [value, system, code]
      rate:
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        choices: [rateQuantity]
        index: 78
        slicing:
          slices:
            rateQuantity:
              match: {}
              schema:
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                choices: [rateQuantity]
                index: 78
              min: 0
              max: 1
      rateRatio:
        type: Ratio
        mustSupport: true
        choiceOf: rate
        index: 66
        slicing:
          slices:
            rateRatio:
              match: {}
              schema: {type: Ratio, mustSupport: true, choiceOf: rate, index: 66}
              min: 0
              max: 1
      rate[x]:
        elements:
          value: {mustSupport: true, index: 80}
          unit: {mustSupport: true, index: 81}
          system: {mustSupport: true, index: 82}
          code: {mustSupport: true, index: 83}
        required: [value, system, code]
      rateQuantity:
        type: Quantity
        mustSupport: true
        pattern:
          type: Quantity
          value: {system: 'http://unitsofmeasure.org'}
        choiceOf: rate
        index: 79
        slicing:
          slices:
            rateQuantity:
              match: {}
              schema:
                type: Quantity
                mustSupport: true
                pattern:
                  type: Quantity
                  value: {system: 'http://unitsofmeasure.org'}
                choiceOf: rate
                index: 79
              min: 0
              max: 1
  medication[x]:
    elements:
      coding:
        mustSupport: true
        index: 16
        slicing:
          rules: open
          discriminator:
          - {path: $this, type: pattern}
          min: null
          slices:
            Pharmazentralnummer:
              match: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
              schema:
                mustSupport: true
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/ifa/pzn'}
                array: true
                index: 17
                elements:
                  system: {mustSupport: true, index: 18}
                  code: {mustSupport: true, index: 19}
                required: [system, code]
            atcClassDe:
              match: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
              schema:
                short: ATC Klassifikation deutsche Version
                mustSupport: true
                array: true
                binding: {strength: required, valueSet: 'http://fhir.de/ValueSet/bfarm/atc'}
                pattern:
                  type: Coding
                  value: {system: 'http://fhir.de/CodeSystem/bfarm/atc'}
                index: 20
                elements:
                  system: {mustSupport: true, index: 21}
                  code: {mustSupport: true, index: 22}
                required: [system, code]
            atcClassEn:
              match: {system: 'http://www.whocc.no/atc'}
              schema:
                short: Anatomical Therapeutic Chemical Classification System
                mustSupport: true
                array: true
                pattern:
                  type: Coding
                  value: {system: 'http://www.whocc.no/atc'}
                index: 23
                elements:
                  system: {mustSupport: true, index: 24}
                  code: {mustSupport: true, index: 25}
                required: [system, code]
      text: {mustSupport: true, index: 26}
  reasonCode:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund Code}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reason code}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund für die Medikationverabreichung als Code.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reason for the medication administration as a code.}
    mustSupport: true
    index: 38
  medicationCodeableConcept:
    type: CodeableConcept
    mustSupport: true
    choiceOf: medication
    index: 15
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema: {type: CodeableConcept, mustSupport: true, choiceOf: medication, index: 15}
          min: 0
          max: 1
  note:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Hinweis}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Note}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Zusätzliche Informationen zur Medikationsverabreichung als Freitext.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Additional information about the medication administration as free text.}
    mustSupport: true
    index: 41
  effectiveDateTime:
    type: dateTime
    mustSupport: true
    choiceOf: effective
    index: 33
    slicing:
      slices:
        effectiveDateTime:
          match: {}
          schema: {type: dateTime, mustSupport: true, choiceOf: effective, index: 33}
          min: 0
          max: 1
  status:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Status}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Status}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: in Durchführung | nicht durchgeführt | in Wartestellung | abgeschlossen | Eingabe fehlerhaft | abgebrochen | unbekannt}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown}
    mustSupport: true
    index: 6
  effective:
    mustSupport: true
    choices: [effectivePeriod]
    index: 35
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema:
            mustSupport: true
            choices: [effectivePeriod]
            index: 35
          min: 0
          max: 1
  id: {mustSupport: true, index: 0}
  identifier:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Identifikator}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Identifier}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Ein Identifikator für die Medikationsverabreichung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: An identifier for this medication administration}
    mustSupport: true
    index: 4
  context:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Kontext}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Context}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: 'Fall oder Kontakt, bei dem die Medikation verabreicht wurde.'}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Encounter or episode of care during which the medication was administered.}
    mustSupport: true
    index: 28
  medicationReference:
    refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
    type: Reference
    mustSupport: true
    choiceOf: medication
    index: 12
    slicing:
      slices:
        medicationReference:
          match: {}
          schema:
            refers: ['http://hl7.org/fhir/StructureDefinition/Medication']
            type: Reference
            mustSupport: true
            choiceOf: medication
            index: 12
          min: 0
          max: 1
  partOf:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Teil von}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Part of}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Teil einer weiteren Medikationsverabreichung}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Part of another medication administration}
    mustSupport: true
    index: 5
  subject: {mustSupport: true, index: 27}
  performer:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Ausführende*r}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Performer}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Wer die Medikation verabreicht hat und was sie getan haben.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Who performed the medication administration and what they did.}
    mustSupport: true
    index: 37
  effectivePeriod:
    type: Period
    mustSupport: true
    choiceOf: effective
    index: 36
    slicing:
      slices:
        effectivePeriod:
          match: {}
          schema: {type: Period, mustSupport: true, choiceOf: effective, index: 36}
          min: 0
          max: 1
  medication:
    mustSupport: true
    choices: [medicationCodeableConcept]
    index: 14
    slicing:
      slices:
        medicationCodeableConcept:
          match: {}
          schema:
            mustSupport: true
            choices: [medicationCodeableConcept]
            index: 14
          min: 0
          max: 1
  reasonReference:
    _short:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund Referenz}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Reason reference}
    _definition:
      extension:
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: de-DE}
        - {url: content, valueString: Grund für die Medikationsverabreichung als Referenz auf Condition- oder Observation-Objekt.}
      - url: http://hl7.org/fhir/StructureDefinition/translation
        extension:
        - {url: lang, valueCode: en-US}
        - {url: content, valueString: Condition or observation that supports why the medication was administered.}
    mustSupport: true
    index: 39
package_version: 2025.0.0-alpha1
class: profile
kind: resource
url: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration
base: http://hl7.org/fhir/StructureDefinition/MedicationAdministration
version: 2025.0.0