CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG
1.0.0 - Release 1

CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Downloaded Version 1.0.0 See the Directory of published versions

## Resource Profile: ACH Monthly Event MedicationAdministration

Official URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration | Version: 1.0.0
Standards status: Trial-use | Maturity Level: 1 | Computable Name: AcuteCareHospitalMonthlyReportingMedicationAdministration

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.

Usages:

- Examples for this Profile: MedicationAdministration/medadmin-example-ach-monthly-pass1-vancomycin, MedicationAdministration/medadmin-example-ach-monthly-pass2-dex4, MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-1, MedicationAdministration/medadmin-example-ach-monthly-pass2-heparin-2... Show 8 more, MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-1, MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-2, MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-3, MedicationAdministration/medadmin-example-ach-monthly-pass2-insulin-lispro-4, MedicationAdministration/medadmin-example-ach-monthly-pass3-enoxaparin, MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-1, MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-2 and MedicationAdministration/medadmin-example-ach-monthly-pass3-metronidazole-3

You can also check for usages in the FHIR IG Statistics

### Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

- Key Elements Table
- Differential Table
- Snapshot Table
- Statistics/References
- All

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 1..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | What was administered
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
reasonCode | S | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
dosage | C | 1..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` From the FHIR Standard
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id |  | 1..1 | id | Logical id of this artifact
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medication[x]:medicationReference |  | 0..1 | Reference(Medication) | What was administered
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
subject |  |  |  |
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
reasonCode | S | 0..* | CodeableConcept | Reason administration performed
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
dosage |  | 1..1 | BackboneElement | Details of how medication was taken
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 1..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | What was administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration
reasonCode | S | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
device |  | 0..* | Reference(Device) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | C | 1..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text |  | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
MedicationAdministration.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
MedicationAdministration.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` From the FHIR Standard
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.medication[x]:medicationReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.context.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes `http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1` From the FHIR Standard
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1` From the FHIR Standard
MedicationAdministration.reasonReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |

This structure is derived from MedicationAdministration

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.medication[x]

Maturity: 1

Key Elements View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 1..1 | id | Logical id of this artifact
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | What was administered
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
reasonCode | S | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
dosage | C | 1..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` From the FHIR Standard
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |

Differential View

This structure is derived from MedicationAdministration

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id |  | 1..1 | id | Logical id of this artifact
meta |  |  |  |
Slices for extension |  |  |  | Content/Rules for all slices
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] |  | 1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medication[x]:medicationReference |  | 0..1 | Reference(Medication) | What was administered
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
subject |  |  |  |
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
reasonCode | S | 0..* | CodeableConcept | Reason administration performed
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
reference | S | 1..1 | string | Literal reference, Relative, internal or absolute URL
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
dosage |  | 1..1 | BackboneElement | Details of how medication was taken
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
Documentation for this format

#### Terminology Bindings (Differential)

Path | Conformance | ValueSet | URI
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard

Snapshot View

Name | Flags | Card. | Type | Description & Constraints Filter: Bindings Constraints Obligations
--- | --- | --- | --- | ---
MedicationAdministration |  | 0..* | MedicationAdministration | Administration of medication to a patient
id | Σ | 1..1 | id | Logical id of this artifact
meta | Σ | 0..1 | Meta | Metadata about the resource
id |  | 0..1 | string | Unique id for inter-element referencing
Slices for extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
extension:link-received-date-extension |  | 0..1 | dateTime | Received Date URL: http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension
versionId | Σ | 0..1 | id | Version specific identifier
lastUpdated | Σ | 0..1 | instant | When the resource version last changed
source | Σ | 0..1 | uri | Identifies where the resource comes from
profile | Σ | 0..* | canonical(StructureDefinition) | Profiles this resource claims to conform to
security | Σ | 0..* | Coding | Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag | Σ | 0..* | Coding | Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created
language |  | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
Additional Bindings | Purpose
AllLanguages | Max Binding
text |  | 0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained |  | 0..* | Resource | Contained, inline Resources
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored
identifier |  | 0..* | Identifier | External identifier
instantiates | Σ | 0..* | uri | Instantiates protocol or definition
partOf | Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event
status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason | S | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (extensible)
category | S | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (extensible)
Slices for medication[x] | Σ | 1..1 |  | What was administered Slice: Unordered, Open by type:$this Binding: Medication Clinical Drug (extensible)
medicationCodeableConcept |  |  | CodeableConcept |
medicationReference |  |  | Reference(Medication) |
medication[x]:medicationReference | Σ | 0..1 | Reference(Medication) | What was administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
subject | Σ | 1..1 | Reference(Patient | Group) | Who received medication
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
context | S | 0..1 | Reference(Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
supportingInformation |  | 0..* | Reference(Resource) | Additional information to support administration
effective[x] | Σ | 1..1 |  | Start and end time of administration
effectiveDateTime |  |  | dateTime |
effectivePeriod |  |  | Period |
performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
function |  | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor | Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration
reasonCode | S | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference | S | 0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations Slice: Unordered, Open by value:url
reference | S Σ C | 1..1 | string | Literal reference, Relative, internal or absolute URL
type | Σ | 0..1 | uri | Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier | Σ | 0..1 | Identifier | Logical reference, when literal reference is not known
display | Σ | 0..1 | string | Text alternative for the resource
request | S | 0..1 | Reference(MedicationRequest) | Request administration performed against
device |  | 0..* | Reference(Device) | Device used to administer
note |  | 0..* | Annotation | Information about the administration
dosage | C | 1..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
id |  | 0..1 | string | Unique id for inter-element referencing
extension |  | 0..* | Extension | Additional content defined by implementations
modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized
text |  | 0..1 | string | Free text dosage instructions e.g. SIG
site |  | 0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
route |  | 1..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (extensible)
method | S | 0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose |  | 1..1 | SimpleQuantity(4.0.1) | Amount of medication per dose
rate[x] |  | 0..1 |  | Dose quantity per unit of time
rateRatio |  |  | Ratio |
rateQuantity |  |  | Quantity(SimpleQuantity) |
eventHistory |  | 0..* | Reference(Provenance) | A list of events of interest in the lifecycle
Documentation for this format

#### Terminology Bindings

Path | Conformance | ValueSet | URI
MedicationAdministration.meta.security | extensible | All Security Labels `http://hl7.org/fhir/ValueSet/security-labels|4.0.1` From the FHIR Standard
MedicationAdministration.meta.tag | example | CommonTags `http://hl7.org/fhir/ValueSet/common-tags|4.0.1` From the FHIR Standard
MedicationAdministration.language | preferred | CommonLanguages `http://hl7.org/fhir/ValueSet/languages|4.0.1` From the FHIR Standard
Additional Bindings | Purpose
AllLanguages | Max Binding
MedicationAdministration.status | required | MedicationAdministration Status Codes `http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1` From the FHIR Standard
MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes` From the FHIR Standard
MedicationAdministration.category | extensible | MedicationAdministration Category Codes `http://hl7.org/fhir/ValueSet/medication-admin-category` From the FHIR Standard
MedicationAdministration.medication[x] | extensible | Medication Clinical Drug `http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4` From https://vsac.nlm.nih.gov
MedicationAdministration.medication[x]:medicationReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.subject.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.context.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes `http://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1` From the FHIR Standard
MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes `http://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1` From the FHIR Standard
MedicationAdministration.reasonReference.type | extensible | ResourceType `http://hl7.org/fhir/ValueSet/resource-types|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes `http://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1` From the FHIR Standard
MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodes `http://hl7.org/fhir/ValueSet/route-codes` From the FHIR Standard
MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes `http://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1` From the FHIR Standard

#### Constraints

Id | Grade | Path(s) | Details | Requirements
dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() |
dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() |
dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() |
dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() |
dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() |
ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) |
ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() |
mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |

This structure is derived from MedicationAdministration

Summary

Mandatory: 5 elements(3 nested mandatory elements)
Must-Support: 11 elements

Extensions

This structure refers to these extensions:

- http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/link-received-date-extension

Slices

This structure defines the following Slices:

- The element 1 is sliced based on the value of MedicationAdministration.medication[x]

Maturity: 1

Other representations of profile: CSV, Excel, Schematron