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
1.0.0 - Release 1
CDC National Healthcare Safety Network (NHSN) Digital Quality Measures (dQM) Content Package IG - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| 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:
You can also check for usages in the FHIR IG Statistics
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  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 |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication |
 reference |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | |
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | |
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1From the FHIR Standard | |
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | |
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1From the FHIR Standard |
| 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: |
|---|---|---|---|---|
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | |
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationAdministration.medication[x]:medicationReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.context.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1From the FHIR Standard |
| 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
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| 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 |
SΣC | 1..1 | string | Literal reference, Relative, internal or absolute URL |
| subject |
Σ | 1..1 | Reference(Patient | Group) | Who received medication |
| reference |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | |
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | |
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1From the FHIR Standard | |
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | |
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1From the FHIR Standard |
| 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: |
|---|---|---|---|---|
| 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 | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | |
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||
|---|---|---|---|---|---|---|---|---|
| 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.
| |||||
| 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 |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 |
SΣC | 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 | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.meta.security | extensible | All Security Labelshttp://hl7.org/fhir/ValueSet/security-labels|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.meta.tag | example | CommonTagshttp://hl7.org/fhir/ValueSet/common-tags|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languages|4.0.1From the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.statusReason | extensible | SNOMEDCTReasonMedicationNotGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-not-given-codesFrom the FHIR Standard | ||||
| MedicationAdministration.category | extensible | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryFrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationAdministration.medication[x]:medicationReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.subject.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.context.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-function|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodeshttp://hl7.org/fhir/ValueSet/reason-medication-given-codes|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.reasonReference.type | extensible | ResourceTypehttp://hl7.org/fhir/ValueSet/resource-types|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codes|4.0.1From the FHIR Standard | ||||
| MedicationAdministration.dosage.route | extensible | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesFrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codes|4.0.1From the FHIR Standard |
| 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
Other representations of profile: CSV, Excel, Schematron
