Profile Comparison between http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration vs http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration

Messages

Metadata

Name	Value		Comments
abstract	false
baseDefinition	http://hl7.org/fhir/StructureDefinition/MedicationAdministration
copyright
description	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](http://hl7.org/fhir/R4/medicationadministration.html).	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](https://hl7.org/fhir/R4/medicationadministration.html) and applies capabilities of the QI Core 6.0.0 [MedicationAdministration](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medicationadministration.html) profile and QI Core 6.0.0 [MedicationAdministration Not Done](https://hl7.org/fhir/us/qicore/STU6/StructureDefinition-qicore-medicationadministrationnotdone.html) profile.	Values Differ
experimental
fhirVersion	4.0.1
jurisdiction
jurisdiction[0]	urn:iso:std:iso:3166#US
kind	resource
name	AcuteCareHospitalMonthlyReportingMedicationAdministration
publisher	CDC National Healthcare Safety Network (NHSN)
purpose
status	active
title	ACH Monthly Event MedicationAdministration
type	MedicationAdministration
url	http://www.cdc.gov/nhsn/fhirportal/dqm/ig/StructureDefinition/ach-monthly-medicationadministration

Structure

Name	L Flags	L Card.	L Type	L Description & Constraints	R Flags	R Card.	R Type	R Description & Constraints	Comments
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	1..1	id	Logical id of this artifact	SΣ	1..1	id	(NHSN-MS) Logical id of this artifact	Elements differ in definition for mustSupport: 'false' vs 'true'
meta	Σ	0..1	Meta	Metadata about the resource	Σ	0..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing		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		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from	Σ	0..1	uri	Identifies where the resource comes from
profile	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to	Σ	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.	Σ	0..*	Coding	Security Labels applied to this resource Binding: ?? (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".	Σ	0..*	Coding	Tags applied to this resource Binding: ?? (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	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? Max Binding		0..1	code	Language of the resource content Binding: ?? (preferred): A human language. Additional Bindings Purpose ?? 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		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		0..*	Resource	Contained, inline Resources
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event	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: ?? (required): A set of codes indicating the current status of a MedicationAdministration.	?!SΣ	1..1	code	(NHSN-MS)(QI-Core) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: ?? (required): A set of codes indicating the current status of a MedicationAdministration.	Elements differ in definition for mustSupport: 'false' vs 'true'
statusReason	S	0..*	CodeableConcept	Reason administration not performed Binding: ?? (extensible)	S	0..*	CodeableConcept	(NHSN-MS) Reason administration not performed Binding: ?? (extensible)
category	S	0..1	CodeableConcept	Type of medication usage Binding: ?? (extensible)	S	0..1	CodeableConcept	(NHSN-MS) Type of medication usage Binding: ?? (extensible)
Slices for medication[x]	Σ	1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this Binding: ?? (extensible)	SΣC	1..1	CodeableConcept, Reference(Medication)	(NHSN-MS)(QI-Core) What was administered Slice: Unordered, Closed by type:$this Binding: ?? (example): Codes identifying substance or product that can be administered. Constraints: not-done-extension-present	Elements differ in definition for mustSupport: 'false' vs 'true'
subject	Σ	1..1	Reference(Patient | Group)	Who received medication	SΣ	1..1	Reference(Cross-Measure Patient Profile) {b}	(NHSN-MS)(QI-Core) Who received medication	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	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	S	0..1	Reference(Encounter | EpisodeOfCare) {b}	(NHSN-MS)(QI-Core) Encounter or Episode of Care administered as part of
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
supportingInformation		0..*	Reference(Resource)	Additional information to support administration		0..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1	dateTime, Period	Start and end time of administration	SΣ	1..1	dateTime, Period	(NHSN-MS)(QI-Core) Start and end time of administration	Elements differ in definition for mustSupport: 'false' vs 'true'
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: ?? (example): A code describing the role an individual played in administering the medication.		0..1	CodeableConcept	Type of performance Binding: ?? (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	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who performed the medication administration
reasonCode	S	0..*	CodeableConcept	Reason administration performed Binding: ?? (example): A set of codes indicating the reason why the MedicationAdministration was made.	S	0..*	CodeableConcept	(NHSN-MS) Reason administration performed Binding: ?? (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	S	0..*	Reference(ACH Monthly Event Condition) {b}	(NHSN-MS) Condition or observation that supports why the medication was administered
id		0..1	string	Unique id for inter-element referencing		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		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	SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (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	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource	Σ	0..1	string	Text alternative for the resource
request	S	0..1	Reference(MedicationRequest)	Request administration performed against	S	0..1	Reference(ACH Monthly Event MedicationRequest) {b}	(NHSN-MS)(QI-Core) Request administration performed against
id						0..1	string	Unique id for inter-element referencing	Added this element
Slices for extension						0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url	Added this element
reference					SΣC	1..1	string	(NHSN-MS) Literal reference, Relative, internal or absolute URL	Added this element
type					Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ?? (extensible): Aa resource (or, for logical models, the URI of the logical model).	Added this element
identifier					Σ	0..1	Identifier	Logical reference, when literal reference is not known	Added this element
display					Σ	0..1	string	Text alternative for the resource	Added this element
device		0..*	Reference(Device)	Device used to administer		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration		0..*	Annotation	Information about the administration
dosage	C	1..1	BackboneElement	Details of how medication was taken	SC	1..1	BackboneElement	(NHSN-MS) Details of how medication was taken	Elements differ in definition for mustSupport: 'false' vs 'true'
id		0..1	string	Unique id for inter-element referencing		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: ?? (example): A coded concept describing the site location the medicine enters into or onto the body.		0..1	CodeableConcept	Body site administered to Binding: ?? (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: ?? (extensible)	S	1..1	CodeableConcept	(NHSN-MS)(QI-Core) Path of substance into body Binding: ?? (extensible)	Elements differ in definition for mustSupport: 'false' vs 'true'
method	S	0..1	CodeableConcept	How drug was administered Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.	S	0..1	CodeableConcept	(NHSN-MS) How drug was administered Binding: ?? (example): A coded concept describing the technique by which the medicine is administered.
dose		1..1	??	Amount of medication per dose	S	1..1	??	(NHSN-MS)(QI-Core) Amount of medication per dose	Elements differ in definition for mustSupport: 'false' vs 'true'
rate[x]		0..1	Ratio, ??	Dose quantity per unit of time		0..1	Ratio, ??	Dose quantity per unit of time
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format