MedicationAdministration
Diese MedicationAdministration-Ressource wird verwendet, um Medikamentenverabreichungen, einschließlich der Selbstverabreichung von oralen Medikamenten, Injektionen, intravenösen Gaben usw. zu erfassen.
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MII_PR_Medikation_MedicationAdministration | https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration |
MedicationAdministration | I | MedicationAdministration | There are no (further) constraints on this element Element IdMedicationAdministration Administration of medication to a patient DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdMedicationAdministration.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdMedicationAdministration.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdMedicationAdministration.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdMedicationAdministration.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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identifier | S | 0..* | Identifier | There are no (further) constraints on this element Element IdMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element IdMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | S Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element IdMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationAdministration | Procedure) Constraints
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status | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.status in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown DefinitionWill generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A set of codes indicating the current status of a MedicationAdministration. MedicationAdministration Status Codes (required)Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration is negated. SNOMEDCTReasonMedicationNotGivenCodes (example)Constraints
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category | S | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing where the medication administered is expected to occur. MedicationAdministration Category Codes (preferred)Constraints
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medication[x] | S Σ | 1..1 | Element IdMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) Binding Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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medicationReference | S Σ | 0..1 | Reference(Medication) | Element IdMedicationAdministration.medication[x]:medicationReference What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
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medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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Pharmazentralnummer | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/ifa/pzn" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/ifa/pzn
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassDe | S Σ | 0..* | CodingBindingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe ATC Klassifikation deutsche Version DefinitionATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/bfarm/atc (required) Constraints
{ "system": "http://fhir.de/CodeSystem/bfarm/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/bfarm/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassEn | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn Anatomical Therapeutic Chemical Classification System DefinitionATC Classification International WHO Version Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://www.whocc.no/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://www.whocc.no/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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subject | S Σ I | 1..1 | MII-Reference(Patient | Group) | Element IdMedicationAdministration.subject A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | Group) Constraints
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context | S I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element IdMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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effective[x] | S Σ | 1..1 | Element IdMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectiveDateTime | S Σ | 0..1 | dateTime | Element IdMedicationAdministration.effective[x]:effectiveDateTime Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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effectivePeriod | S Σ | 0..1 | Period | Element IdMedicationAdministration.effective[x]:effectivePeriod Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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performer | S Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.performer Who performed the medication administration and what they did DefinitionIndicates who or what performed the medication administration and how they were involved.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A code describing the role an individual played in administering the medication. MedicationAdministration Performer Function Codes (example)Constraints
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actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdMedicationAdministration.performer.actor Who performed the medication administration DefinitionIndicates who or what performed the medication administration. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Constraints
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reasonCode | S | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration was made. ReasonMedicationGivenCodes (example)Constraints
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reasonReference | S I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element IdMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | S I | 0..1 | Reference(MedicationRequest) | There are no (further) constraints on this element Element IdMedicationAdministration.request Request administration performed against DefinitionThe original request, instruction or authority to perform the administration. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element IdMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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note | S | 0..* | Annotation | There are no (further) constraints on this element Element IdMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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dosage | S I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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text | S | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.dosage.site.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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SNOMED | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.dosage.site.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. target site IPS TargetSiteCodeUvIps (example)Constraints
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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route | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route Path of substance into body DefinitionA code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example)Constraints
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coding | S Σ | 0..* | CodingBinding | Element IdMedicationAdministration.dosage.route.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Binding EDQM Standards Terms RouteOfAdminUvIps (preferred)Constraints
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EDQM | S Σ | 0..1 | CodingBindingPattern | Element IdMedicationAdministration.dosage.route.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. EDQM Standard Terms RouteOfAdminUvIps (preferred)Constraints
{ "system": "http://standardterms.edqm.eu" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://standardterms.edqm.eu
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..1 | CodingPattern | Element IdMedicationAdministration.dosage.route.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example)Constraints
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dose | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.dose Amount of medication per dose DefinitionThe amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rate[x] | S | 0..1 | Element IdMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | S | 0..1 | Ratio | Element IdMedicationAdministration.dosage.rate[x]:rateRatio Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
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numerator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator Numerator value DefinitionThe value of the numerator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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denominator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator Denominator value DefinitionThe value of the denominator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rateQuantity | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateQuantity A fixed quantity (no comparator) DefinitionThe comparator is not used on a SimpleQuantity The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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MedicationAdministration | I | MedicationAdministration | There are no (further) constraints on this element Element IdMedicationAdministration Administration of medication to a patient DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdMedicationAdministration.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdMedicationAdministration.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdMedicationAdministration.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdMedicationAdministration.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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identifier | S | 0..* | Identifier | There are no (further) constraints on this element Element IdMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element IdMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | S Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element IdMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationAdministration | Procedure) Constraints
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status | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.status in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown DefinitionWill generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A set of codes indicating the current status of a MedicationAdministration. MedicationAdministration Status Codes (required)Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration is negated. SNOMEDCTReasonMedicationNotGivenCodes (example)Constraints
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category | S | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing where the medication administered is expected to occur. MedicationAdministration Category Codes (preferred)Constraints
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medication[x] | S Σ | 1..1 | Element IdMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) Binding Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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medicationReference | S Σ | 0..1 | Reference(Medication) | Element IdMedicationAdministration.medication[x]:medicationReference What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
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medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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Pharmazentralnummer | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/ifa/pzn" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/ifa/pzn
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassDe | S Σ | 0..* | CodingBindingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe ATC Klassifikation deutsche Version DefinitionATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/bfarm/atc (required) Constraints
{ "system": "http://fhir.de/CodeSystem/bfarm/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/bfarm/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassEn | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn Anatomical Therapeutic Chemical Classification System DefinitionATC Classification International WHO Version Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://www.whocc.no/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://www.whocc.no/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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subject | S Σ I | 1..1 | MII-Reference(Patient | Group) | Element IdMedicationAdministration.subject A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | Group) Constraints
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context | S I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element IdMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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effective[x] | S Σ | 1..1 | Element IdMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectiveDateTime | S Σ | 0..1 | dateTime | Element IdMedicationAdministration.effective[x]:effectiveDateTime Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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effectivePeriod | S Σ | 0..1 | Period | Element IdMedicationAdministration.effective[x]:effectivePeriod Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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performer | S Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.performer Who performed the medication administration and what they did DefinitionIndicates who or what performed the medication administration and how they were involved.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A code describing the role an individual played in administering the medication. MedicationAdministration Performer Function Codes (example)Constraints
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actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdMedicationAdministration.performer.actor Who performed the medication administration DefinitionIndicates who or what performed the medication administration. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Constraints
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reasonCode | S | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration was made. ReasonMedicationGivenCodes (example)Constraints
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reasonReference | S I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element IdMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | S I | 0..1 | Reference(MedicationRequest) | There are no (further) constraints on this element Element IdMedicationAdministration.request Request administration performed against DefinitionThe original request, instruction or authority to perform the administration. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element IdMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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note | S | 0..* | Annotation | There are no (further) constraints on this element Element IdMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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dosage | S I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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text | S | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.dosage.site.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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SNOMED | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.dosage.site.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. target site IPS TargetSiteCodeUvIps (example)Constraints
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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route | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route Path of substance into body DefinitionA code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example)Constraints
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coding | S Σ | 0..* | CodingBinding | Element IdMedicationAdministration.dosage.route.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Binding EDQM Standards Terms RouteOfAdminUvIps (preferred)Constraints
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EDQM | S Σ | 0..1 | CodingBindingPattern | Element IdMedicationAdministration.dosage.route.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. EDQM Standard Terms RouteOfAdminUvIps (preferred)Constraints
{ "system": "http://standardterms.edqm.eu" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://standardterms.edqm.eu
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..1 | CodingPattern | Element IdMedicationAdministration.dosage.route.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example)Constraints
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dose | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.dose Amount of medication per dose DefinitionThe amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rate[x] | S | 0..1 | Element IdMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | S | 0..1 | Ratio | Element IdMedicationAdministration.dosage.rate[x]:rateRatio Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
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numerator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator Numerator value DefinitionThe value of the numerator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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denominator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator Denominator value DefinitionThe value of the denominator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rateQuantity | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateQuantity A fixed quantity (no comparator) DefinitionThe comparator is not used on a SimpleQuantity The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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MedicationAdministration | I | MedicationAdministration | There are no (further) constraints on this element Element IdMedicationAdministration Administration of medication to a patient DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | S Σ | 0..1 | System.String | There are no (further) constraints on this element Element IdMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. System.String |
meta | S Σ | 0..1 | Meta | There are no (further) constraints on this element Element IdMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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versionId | Σ | 0..1 | id | There are no (further) constraints on this element Element IdMedicationAdministration.meta.versionId Version specific identifier DefinitionThe version specific identifier, as it appears in the version portion of the URL. This value changes when the resource is created, updated, or deleted. The server assigns this value, and ignores what the client specifies, except in the case that the server is imposing version integrity on updates/deletes.
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lastUpdated | Σ | 0..1 | instant | There are no (further) constraints on this element Element IdMedicationAdministration.meta.lastUpdated When the resource version last changed DefinitionWhen the resource last changed - e.g. when the version changed. This value is always populated except when the resource is first being created. The server / resource manager sets this value; what a client provides is irrelevant. This is equivalent to the HTTP Last-Modified and SHOULD have the same value on a read interaction.
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source | S Σ | 0..1 | uri | There are no (further) constraints on this element Element IdMedicationAdministration.meta.source Identifies where the resource comes from DefinitionA uri that identifies the source system of the resource. This provides a minimal amount of Provenance information that can be used to track or differentiate the source of information in the resource. The source may identify another FHIR server, document, message, database, etc. In the provenance resource, this corresponds to Provenance.entity.what[x]. The exact use of the source (and the implied Provenance.entity.role) is left to implementer discretion. Only one nominated source is allowed; for additional provenance details, a full Provenance resource should be used. This element can be used to indicate where the current master source of a resource that has a canonical URL if the resource is no longer hosted at the canonical URL.
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profile | S Σ | 0..* | canonical(StructureDefinition) | There are no (further) constraints on this element Element IdMedicationAdministration.meta.profile Profiles this resource claims to conform to DefinitionA list of profiles (references to StructureDefinition resources) that this resource claims to conform to. The URL is a reference to StructureDefinition.url. It is up to the server and/or other infrastructure of policy to determine whether/how these claims are verified and/or updated over time. The list of profile URLs is a set. canonical(StructureDefinition) Constraints
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security | Σ | 0..* | CodingBinding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.security Security Labels applied to this resource DefinitionSecurity labels applied to this resource. These tags connect specific resources to the overall security policy and infrastructure. The security labels can be updated without changing the stated version of the resource. The list of security labels is a set. Uniqueness is based the system/code, and version and display are ignored. Security Labels from the Healthcare Privacy and Security Classification System. All Security Labels (extensible)Constraints
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tag | Σ | 0..* | Coding | There are no (further) constraints on this element Element IdMedicationAdministration.meta.tag Tags applied to this resource DefinitionTags applied to this resource. Tags are intended to be used to identify and relate resources to process and workflow, and applications are not required to consider the tags when interpreting the meaning of a resource. The tags can be updated without changing the stated version of the resource. The list of tags is a set. Uniqueness is based the system/code, and version and display are ignored. Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones". CommonTags (example)Constraints
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identifier | S | 0..* | Identifier | There are no (further) constraints on this element Element IdMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element IdMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | S Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element IdMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(MedicationAdministration | Procedure) Constraints
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status | S Σ ?! | 1..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.status in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown DefinitionWill generally be set to show that the administration has been completed. For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way. This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. A set of codes indicating the current status of a MedicationAdministration. MedicationAdministration Status Codes (required)Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration is negated. SNOMEDCTReasonMedicationNotGivenCodes (example)Constraints
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category | S | 0..1 | CodeableConceptBinding | There are no (further) constraints on this element Element IdMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing where the medication administered is expected to occur. MedicationAdministration Category Codes (preferred)Constraints
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medication[x] | S Σ | 1..1 | Element IdMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) Binding Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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medicationReference | S Σ | 0..1 | Reference(Medication) | Element IdMedicationAdministration.medication[x]:medicationReference What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource.
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medicationCodeableConcept | S Σ | 0..1 | CodeableConcept | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Codes identifying substance or product that can be administered. SNOMEDCTMedicationCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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Pharmazentralnummer | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://fhir.de/CodeSystem/ifa/pzn" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/ifa/pzn
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassDe | S Σ | 0..* | CodingBindingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe ATC Klassifikation deutsche Version DefinitionATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. http://fhir.de/ValueSet/bfarm/atc (required) Constraints
{ "system": "http://fhir.de/CodeSystem/bfarm/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://fhir.de/CodeSystem/bfarm/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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atcClassEn | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn Anatomical Therapeutic Chemical Classification System DefinitionATC Classification International WHO Version Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://www.whocc.no/atc" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://www.whocc.no/atc
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.medication[x]:medicationCodeableConcept.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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subject | S Σ I | 1..1 | MII-Reference(Patient | Group) | Element IdMedicationAdministration.subject A reference from one resource to another DefinitionA reference from one resource to another. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. MII-Reference(Patient | Group) Constraints
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context | S I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element IdMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | There are no (further) constraints on this element Element IdMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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effective[x] | S Σ | 1..1 | Element IdMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectiveDateTime | S Σ | 0..1 | dateTime | Element IdMedicationAdministration.effective[x]:effectiveDateTime Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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effectivePeriod | S Σ | 0..1 | Period | Element IdMedicationAdministration.effective[x]:effectivePeriod Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate.
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performer | S Σ | 0..* | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.performer Who performed the medication administration and what they did DefinitionIndicates who or what performed the medication administration and how they were involved.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A code describing the role an individual played in administering the medication. MedicationAdministration Performer Function Codes (example)Constraints
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actor | Σ I | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | There are no (further) constraints on this element Element IdMedicationAdministration.performer.actor Who performed the medication administration DefinitionIndicates who or what performed the medication administration. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Constraints
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reasonCode | S | 0..* | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A set of codes indicating the reason why the MedicationAdministration was made. ReasonMedicationGivenCodes (example)Constraints
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reasonReference | S I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element IdMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | S I | 0..1 | Reference(MedicationRequest) | There are no (further) constraints on this element Element IdMedicationAdministration.request Request administration performed against DefinitionThe original request, instruction or authority to perform the administration. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value.
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element IdMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
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note | S | 0..* | Annotation | There are no (further) constraints on this element Element IdMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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dosage | S I | 0..1 | BackboneElement | There are no (further) constraints on this element Element IdMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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text | S | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body. SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)Constraints
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coding | S Σ | 0..* | Coding | Element IdMedicationAdministration.dosage.site.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Constraints
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SNOMED | S Σ | 0..* | CodingPattern | Element IdMedicationAdministration.dosage.site.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. target site IPS TargetSiteCodeUvIps (example)Constraints
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.site.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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route | S | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route Path of substance into body DefinitionA code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient. For example, topical, intravenous, etc. Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. SNOMEDCTRouteCodes (example)Constraints
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coding | S Σ | 0..* | CodingBinding | Element IdMedicationAdministration.dosage.route.coding Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. Unordered, Open, by $this(Pattern) Binding EDQM Standards Terms RouteOfAdminUvIps (preferred)Constraints
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EDQM | S Σ | 0..1 | CodingBindingPattern | Element IdMedicationAdministration.dosage.route.coding:EDQM Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true. EDQM Standard Terms RouteOfAdminUvIps (preferred)Constraints
{ "system": "http://standardterms.edqm.eu" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://standardterms.edqm.eu
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:EDQM.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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SNOMED | S Σ | 0..1 | CodingPattern | Element IdMedicationAdministration.dosage.route.coding:SNOMED Code defined by a terminology system DefinitionA reference to a code defined by a terminology system. Allows for alternative encodings within a code system, and translations to other code systems. Codes may be defined very casually in enumerations, or code lists, up to very formal definitions such as SNOMED CT - see the HL7 v3 Core Principles for more information. Ordering of codings is undefined and SHALL NOT be used to infer meaning. Generally, at most only one of the coding values will be labeled as UserSelected = true.
{ "system": "http://snomed.info/sct" }
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system | S Σ | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.system Identity of the terminology system DefinitionThe identification of the code system that defines the meaning of the symbol in the code. Need to be unambiguous about the source of the definition of the symbol. The URI may be an OID (urn:oid:...) or a UUID (urn:uuid:...). OIDs and UUIDs SHALL be references to the HL7 OID registry. Otherwise, the URI should come from HL7's list of FHIR defined special URIs or it should reference to some definition that establishes the system clearly and unambiguously.
http://snomed.info/sct
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version | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.version Version of the system - if relevant DefinitionThe version of the code system which was used when choosing this code. Note that a well-maintained code system does not need the version reported, because the meaning of codes is consistent across versions. However this cannot consistently be assured, and when the meaning is not guaranteed to be consistent, the version SHOULD be exchanged. Where the terminology does not clearly define what string should be used to identify code system versions, the recommendation is to use the date (expressed in FHIR date format) on which that version was officially published as the version date.
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.code Symbol in syntax defined by the system DefinitionA symbol in syntax defined by the system. The symbol may be a predefined code or an expression in a syntax defined by the coding system (e.g. post-coordination). Need to refer to a particular code in the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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display | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.display Representation defined by the system DefinitionA representation of the meaning of the code in the system, following the rules of the system. Need to be able to carry a human-readable meaning of the code for readers that do not know the system. Note that FHIR strings SHALL NOT exceed 1MB in size
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userSelected | Σ | 0..1 | boolean | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.coding:SNOMED.userSelected If this coding was chosen directly by the user DefinitionIndicates that this coding was chosen by a user directly - e.g. off a pick list of available items (codes or displays). This has been identified as a clinical safety criterium - that this exact system/code pair was chosen explicitly, rather than inferred by the system based on some rules or language processing. Amongst a set of alternatives, a directly chosen code is the most appropriate starting point for new translations. There is some ambiguity about what exactly 'directly chosen' implies, and trading partner agreement may be needed to clarify the use of this element and its consequences more completely.
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text | Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.route.text Plain text representation of the concept DefinitionA human language representation of the concept as seen/selected/uttered by the user who entered the data and/or which represents the intended meaning of the user. The codes from the terminologies do not always capture the correct meaning with all the nuances of the human using them, or sometimes there is no appropriate code at all. In these cases, the text is used to capture the full meaning of the source. Very often the text is the same as a displayName of one of the codings.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered. SNOMEDCTAdministrationMethodCodes (example)Constraints
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dose | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.dose Amount of medication per dose DefinitionThe amount of the medication given at one administration event. Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.dose.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rate[x] | S | 0..1 | Element IdMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | S | 0..1 | Ratio | Element IdMedicationAdministration.dosage.rate[x]:rateRatio Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate.
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numerator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator Numerator value DefinitionThe value of the numerator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.numerator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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denominator | S Σ I | 0..1 | QuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator Denominator value DefinitionThe value of the denominator. The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..1 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.comparator < | <= | >= | > - how to understand the value DefinitionHow the value should be understood and represented - whether the actual value is greater or less than the stated value due to measurement issues; e.g. if the comparator is "<" , then the real value is < stated value. Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateRatio.denominator.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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rateQuantity | S I | 0..1 | SimpleQuantityPattern | Element IdMedicationAdministration.dosage.rate[x]:rateQuantity A fixed quantity (no comparator) DefinitionThe comparator is not used on a SimpleQuantity The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
{ "system": "http://unitsofmeasure.org" }
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value | S Σ | 1..1 | decimal | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.value Numerical value (with implicit precision) DefinitionThe value of the measured amount. The value includes an implicit precision in the presentation of the value. Precision is handled implicitly in almost all cases of measurement. The implicit precision in the value should always be honored. Monetary values have their own rules for handling precision (refer to standard accounting text books).
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comparator | Σ ?! | 0..0 | codeBinding | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.comparator < | <= | >= | > - how to understand the value DefinitionNot allowed to be used in this context Need a framework for handling measures where the value is <5ug/L or >400mg/L due to the limitations of measuring methodology. Note that FHIR strings SHALL NOT exceed 1MB in size If there is no comparator, then there is no modification of the value How the Quantity should be understood and represented. QuantityComparator (required)Constraints
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unit | S Σ | 0..1 | string | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.unit Unit representation DefinitionA human-readable form of the unit. There are many representations for units of measure and in many contexts, particular representations are fixed and required. I.e. mcg for micrograms. Note that FHIR strings SHALL NOT exceed 1MB in size
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system | S Σ I | 1..1 | uriFixed Value | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.system System that defines coded unit form DefinitionThe identification of the system that provides the coded form of the unit. Need to know the system that defines the coded form of the unit. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
http://unitsofmeasure.org
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code | S Σ | 1..1 | code | There are no (further) constraints on this element Element IdMedicationAdministration.dosage.rate[x]:rateQuantity.code Coded form of the unit DefinitionA computer processable form of the unit in some unit representation system. Need a computable form of the unit that is fixed across all forms. UCUM provides this for quantities, but SNOMED CT provides many units of interest. The preferred system is UCUM, but SNOMED CT can also be used (for customary units) or ISO 4217 for currency. The context of use may additionally require a code from a particular system.
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element IdMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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{ "resourceType": "StructureDefinition", "id": "mii-pr-medikation-medication-administration", "url": "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration", "version": "2.0.0", "name": "MII_PR_Medikation_MedicationAdministration", "_name": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII_PR_Medikation_MedicationAdministration" } ] } ] }, "title": "MII PR Medikation MedicationAdministration", "_title": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "MII PR Medikation MedicationAdministration" } ] } ] }, "status": "active", "date": "2022-05-18", "publisher": "Medizininformatik Initiative", "contact": [ { "telecom": [ { "system": "url", "value": "https://www.medizininformatik-initiative.de" } ] } ], "description": "Dieses Profil beschreibt Medikamentenverabreichungen, einschließlich der Selbstverabreichung von oralen Medikamenten, Injektionen, intravenösen Gaben etc.", "_description": { "extension": [ { "url": "http://hl7.org/fhir/StructureDefinition/translation", "extension": [ { "url": "lang", "valueCode": "en-US" }, { "url": "content", "valueString": "This profile describes medication administrations, including self-administration of oral medications, injections, intravenous administrations, etc." } ] } ] }, "fhirVersion": "4.0.1", "mapping": [ { "identity": "workflow", "uri": "http://hl7.org/fhir/workflow", "name": "Workflow Pattern" }, { "identity": "rim", "uri": "http://hl7.org/v3", "name": "RIM Mapping" }, { "identity": "w5", "uri": "http://hl7.org/fhir/fivews", "name": "FiveWs Pattern Mapping" }, { "identity": "v2", "uri": "http://hl7.org/v2", "name": "HL7 v2 Mapping" }, { "identity": "w3c.prov", "uri": "http://www.w3.org/ns/prov", "name": "W3C PROV" } ], "kind": "resource", "abstract": false, "type": "MedicationAdministration", "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration", "derivation": "constraint", "differential": { "element": [ { "id": "MedicationAdministration.id", "path": "MedicationAdministration.id", "mustSupport": true }, { "id": "MedicationAdministration.meta", "path": "MedicationAdministration.meta", "mustSupport": true }, { "id": "MedicationAdministration.meta.source", "path": "MedicationAdministration.meta.source", "mustSupport": true }, { "id": "MedicationAdministration.meta.profile", "path": "MedicationAdministration.meta.profile", "mustSupport": true }, { "id": "MedicationAdministration.identifier", "path": "MedicationAdministration.identifier", "mustSupport": true }, { "id": "MedicationAdministration.partOf", "path": "MedicationAdministration.partOf", "mustSupport": true }, { "id": "MedicationAdministration.status", "path": "MedicationAdministration.status", "mustSupport": true }, { "id": "MedicationAdministration.category", "path": "MedicationAdministration.category", "mustSupport": true }, { "id": "MedicationAdministration.medication[x]", "path": "MedicationAdministration.medication[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "rules": "open" }, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationReference", "path": "MedicationAdministration.medication[x]", "sliceName": "medicationReference", "min": 0, "max": "1", "type": [ { "code": "Reference", "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Medication" ] } ], "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept", "path": "MedicationAdministration.medication[x]", "sliceName": "medicationCodeableConcept", "min": 0, "max": "1", "type": [ { "code": "CodeableConcept" } ], "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding", "path": "MedicationAdministration.medication[x].coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer", "path": "MedicationAdministration.medication[x].coding", "sliceName": "Pharmazentralnummer", "min": 0, "max": "*", "patternCoding": { "system": "http://fhir.de/CodeSystem/ifa/pzn" }, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.system", "path": "MedicationAdministration.medication[x].coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Pharmazentralnummer.code", "path": "MedicationAdministration.medication[x].coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe", "path": "MedicationAdministration.medication[x].coding", "sliceName": "atcClassDe", "short": "ATC Klassifikation deutsche Version", "definition": "ATC-Codes für Fertigarzneimittel bspw. von Kombiprodukten", "min": 0, "max": "*", "patternCoding": { "system": "http://fhir.de/CodeSystem/bfarm/atc" }, "mustSupport": true, "binding": { "strength": "required", "valueSet": "http://fhir.de/ValueSet/bfarm/atc" } }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.system", "path": "MedicationAdministration.medication[x].coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe.code", "path": "MedicationAdministration.medication[x].coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn", "path": "MedicationAdministration.medication[x].coding", "sliceName": "atcClassEn", "short": "Anatomical Therapeutic Chemical Classification System", "definition": "ATC Classification International WHO Version", "min": 0, "max": "*", "patternCoding": { "system": "http://www.whocc.no/atc" }, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.system", "path": "MedicationAdministration.medication[x].coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassEn.code", "path": "MedicationAdministration.medication[x].coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.text", "path": "MedicationAdministration.medication[x].text", "mustSupport": true }, { "id": "MedicationAdministration.subject", "path": "MedicationAdministration.subject", "type": [ { "code": "Reference", "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/StructureDefinition/MII-Reference" ], "targetProfile": [ "http://hl7.org/fhir/StructureDefinition/Patient", "http://hl7.org/fhir/StructureDefinition/Group" ] } ], "mustSupport": true }, { "id": "MedicationAdministration.context", "path": "MedicationAdministration.context", "mustSupport": true }, { "id": "MedicationAdministration.effective[x]", "path": "MedicationAdministration.effective[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "mustSupport": true }, { "id": "MedicationAdministration.effective[x]:effectiveDateTime", "path": "MedicationAdministration.effective[x]", "sliceName": "effectiveDateTime", "min": 0, "max": "1", "type": [ { "code": "dateTime" } ], "mustSupport": true }, { "id": "MedicationAdministration.effective[x]:effectivePeriod", "path": "MedicationAdministration.effective[x]", "sliceName": "effectivePeriod", "min": 0, "max": "1", "type": [ { "code": "Period" } ], "mustSupport": true }, { "id": "MedicationAdministration.performer", "path": "MedicationAdministration.performer", "mustSupport": true }, { "id": "MedicationAdministration.reasonCode", "path": "MedicationAdministration.reasonCode", "mustSupport": true }, { "id": "MedicationAdministration.reasonReference", "path": "MedicationAdministration.reasonReference", "mustSupport": true }, { "id": "MedicationAdministration.request", "path": "MedicationAdministration.request", "mustSupport": true }, { "id": "MedicationAdministration.note", "path": "MedicationAdministration.note", "mustSupport": true }, { "id": "MedicationAdministration.dosage", "path": "MedicationAdministration.dosage", "mustSupport": true }, { "id": "MedicationAdministration.dosage.text", "path": "MedicationAdministration.dosage.text", "mustSupport": true }, { "id": "MedicationAdministration.dosage.site", "path": "MedicationAdministration.dosage.site", "mustSupport": true }, { "id": "MedicationAdministration.dosage.site.coding", "path": "MedicationAdministration.dosage.site.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.site.coding:SNOMED", "path": "MedicationAdministration.dosage.site.coding", "sliceName": "SNOMED", "min": 0, "max": "*", "patternCoding": { "system": "http://snomed.info/sct" }, "mustSupport": true, "binding": { "strength": "example", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/target-site-uv-ips", "description": "target site IPS" } }, { "id": "MedicationAdministration.dosage.site.coding:SNOMED.system", "path": "MedicationAdministration.dosage.site.coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.site.coding:SNOMED.code", "path": "MedicationAdministration.dosage.site.coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.route", "path": "MedicationAdministration.dosage.route", "mustSupport": true }, { "id": "MedicationAdministration.dosage.route.coding", "path": "MedicationAdministration.dosage.route.coding", "slicing": { "discriminator": [ { "type": "pattern", "path": "$this" } ], "rules": "open" }, "mustSupport": true, "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration", "description": "EDQM Standards Terms" } }, { "id": "MedicationAdministration.dosage.route.coding:EDQM", "path": "MedicationAdministration.dosage.route.coding", "sliceName": "EDQM", "min": 0, "max": "1", "patternCoding": { "system": "http://standardterms.edqm.eu" }, "mustSupport": true, "binding": { "strength": "preferred", "valueSet": "http://hl7.org/fhir/uv/ips/ValueSet/medicine-route-of-administration", "description": "EDQM Standard Terms" } }, { "id": "MedicationAdministration.dosage.route.coding:EDQM.system", "path": "MedicationAdministration.dosage.route.coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.route.coding:EDQM.code", "path": "MedicationAdministration.dosage.route.coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.route.coding:SNOMED", "path": "MedicationAdministration.dosage.route.coding", "sliceName": "SNOMED", "min": 0, "max": "1", "patternCoding": { "system": "http://snomed.info/sct" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.route.coding:SNOMED.system", "path": "MedicationAdministration.dosage.route.coding.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.route.coding:SNOMED.code", "path": "MedicationAdministration.dosage.route.coding.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.dose", "path": "MedicationAdministration.dosage.dose", "patternQuantity": { "system": "http://unitsofmeasure.org" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.dose.value", "path": "MedicationAdministration.dosage.dose.value", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.dose.unit", "path": "MedicationAdministration.dosage.dose.unit", "mustSupport": true }, { "id": "MedicationAdministration.dosage.dose.system", "path": "MedicationAdministration.dosage.dose.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.dose.code", "path": "MedicationAdministration.dosage.dose.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]", "path": "MedicationAdministration.dosage.rate[x]", "slicing": { "discriminator": [ { "type": "type", "path": "$this" } ], "ordered": false, "rules": "open" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio", "path": "MedicationAdministration.dosage.rate[x]", "sliceName": "rateRatio", "min": 0, "max": "1", "type": [ { "code": "Ratio" } ], "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator", "path": "MedicationAdministration.dosage.rate[x].numerator", "patternQuantity": { "system": "http://unitsofmeasure.org" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator.value", "path": "MedicationAdministration.dosage.rate[x].numerator.value", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator.unit", "path": "MedicationAdministration.dosage.rate[x].numerator.unit", "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator.system", "path": "MedicationAdministration.dosage.rate[x].numerator.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.numerator.code", "path": "MedicationAdministration.dosage.rate[x].numerator.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator", "path": "MedicationAdministration.dosage.rate[x].denominator", "patternQuantity": { "system": "http://unitsofmeasure.org" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator.value", "path": "MedicationAdministration.dosage.rate[x].denominator.value", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator.unit", "path": "MedicationAdministration.dosage.rate[x].denominator.unit", "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator.system", "path": "MedicationAdministration.dosage.rate[x].denominator.system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateRatio.denominator.code", "path": "MedicationAdministration.dosage.rate[x].denominator.code", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateQuantity", "path": "MedicationAdministration.dosage.rate[x]", "sliceName": "rateQuantity", "min": 0, "max": "1", "type": [ { "code": "Quantity", "profile": [ "http://hl7.org/fhir/StructureDefinition/SimpleQuantity" ] } ], "patternQuantity": { "system": "http://unitsofmeasure.org" }, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateQuantity.value", "path": "MedicationAdministration.dosage.rate[x].value", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateQuantity.unit", "path": "MedicationAdministration.dosage.rate[x].unit", "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateQuantity.system", "path": "MedicationAdministration.dosage.rate[x].system", "min": 1, "mustSupport": true }, { "id": "MedicationAdministration.dosage.rate[x]:rateQuantity.code", "path": "MedicationAdministration.dosage.rate[x].code", "min": 1, "mustSupport": true } ] } }
FHIR | Datensatz | Erklaerung |
---|---|---|
MedicationAdministration | BasismodulMedikation.Medikationsverabreichung | Beschreibt das Ereignis, bei dem ein Patient ein Medikament einnimmt oder ihm auf andere Weise verabreicht wird. Dies kann das Schlucken einer Tablette oder eine lang laufende Infusion sein. |
MedicationAdministration.identifier | BasismodulMedikation.Medikationsverabreichung.Identifikation | Identifikator der Medikationsverabreichung |
MedicationAdministration.status | BasismodulMedikation.Medikationsverabreichung.Status | Zeigt den Status der Medikationsverabreichung an. |
MedicationAdministration.medication[x] | BasismodulMedikation.Medikationsverabreichung.Medikation[x] | Definition eines Medikamentes zum Zwecke der Verschreibung, Abgabe und Verabreichung. Es kann sich um ein fertiges Arzneimittelprodukt, einen Wirkstoff oder eine Rezeptur handeln. |
MedicationAdministration.effective[x] | BasismodulMedikation.Medikationsverabreichung.Verabreichungszeitpunkt[x] | Zeitpunkt oder Zeitintervall in dem die Verabreichung stattgefunden hat. |
MedicationAdministration.dosage | BasismodulMedikation.Medikationsverabreichung.Dosierung | Details zur Dosierung der Medikation |
MedicationAdministration.dosage.text | BasismodulMedikation.Medikationsverabreichung.Dosierung.Freitext | Freitext der Dosierungsinformationen |
MedicationAdministration.dosage.site | BasismodulMedikation.Medikationsverabreichung.Dosierung.Koerperstelle | Eine kodierte Angabe der anatomischen Stelle, an der das Medikament zuerst in den Körper gelangt ist. |
MedicationAdministration.dosage.route | BasismodulMedikation.Medikationsverabreichung.Dosierung.Weg | Ein Code, der den Zugangsweg oder den physiologischen Weg der Verabreichung eines therapeutischen Mittels in oder an den Patienten angibt. Zum Beispiel topisch, intravenös, usw. |
MedicationAdministration.dosage.dose | BasismodulMedikation.Medikationsverabreichung.Dosierung.Dosis | Die Menge des Medikaments, die bei einem Verabreichungsvorgang verabreicht wird. Wird verwendet, wenn die Verabreichung im Wesentlichen ein sofortiges Ereignis ist, wie das Schlucken einer Tablette oder die Verabreichung einer Injektion. |
MedicationAdministration.dosage.rate[x] | BasismodulMedikation.Medikationsverabreichung.Dosierung.Rate[x] | Gibt die Geschwindigkeit an, mit der das Medikament dem Patienten zugeführt wurde oder wird. In der Regel die Rate für eine Infusion, z. B. 100 ml pro 1 Stunde oder 100 ml/Stunde. Kann auch als Rate pro Zeiteinheit ausgedrückt werden, z. B. 500 ml pro 2 Stunden. Andere Beispiele: 200 mcg/min oder 200 mcg/1 Minute; 1 Liter/8 Stunden. |
MedicationAdministration.note | BasismodulMedikation.Medikationsverabreichung.Hinweis | Informationen über die Verabreichung |
MedicationAdministration.(reasonCode|reasonReference) | BasismodulMedikation.Medikationsverabreichung.Behandlungsgrund[x] | Grund für die Durchführung der Verabreichung |
MedicationAdministration.request | BasismodulMedikation.Medikationsverabreichung.BezugZuVerordnung | Referenz auf die Medikationsverordnung, welche die Mediaktionsverabreichung anordnet. |
MedicationAdministration.subject | BasismodulMedikation.Medikationsverabreichung.BezugZuPatient | Die Person, die das Medikament erhält. |
MedicationAdministration.context | BasismodulMedikation.Medikationsverabreichung.BezugZuFall | Der Besuch, die Aufnahme oder ein anderer Kontakt zwischen Patient und Leistungserbringer, bei dem die Verabreichung des Medikaments erfolgt ist. |
MedicationAdministration.performer | BasismodulMedikation.Medikationsverabreichung.Durchfuehrender | Gibt an, wer oder was die Verabreichung der Medikamente durchgeführt hat. |
Suchparameter
Folgende Suchparameter sind für das Modul Medikation relevant, auch in Kombination:
Der Suchparameter
_id
MUSS unterstützt werden:Beispiele:
GET [base]/MedicationAdministration?_id=1234
Anwendungshinweise: Weitere Informationen zur Suche nach "_id" finden sich in der FHIR-Basisspezifikation - Abschnitt "Parameters for all resources".
Der Suchparameter "_profile" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?_profile=https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration
Anwendungshinweise: Weitere Informationen zur Suche nach "_profile" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "code" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?code=http://fhir.de/CodeSystem/bfarm/atc|B01AC06
Anwendungshinweise: Weitere Informationen zur Suche nach "code" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "medication" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?medication=Medication/mii-exa-medikation-medication-dolomo-tag
Anwendungshinweise: Weitere Informationen zur Suche nach "medication" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "subject" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?subject=Patient/example
Anwendungshinweise: Weitere Informationen zur Suche nach "subject" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "status" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?status=completed
Anwendungshinweise: Weitere Informationen zur Suche nach "status" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "context" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?context=Encounter/example
Anwendungshinweise: Weitere Informationen zur Suche nach "context" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "effective-time" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?effective-time=2022-04-07
Anwendungshinweise: Weitere Informationen zur Suche nach "authored" finden sich in der FHIR-Basisspezifikation - Abschnitt "date".
Der Suchparameter "reason-reference" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?reason-reference=Observation/example
Anwendungshinweise: Weitere Informationen zur Suche nach "reason-reference" finden sich in der FHIR-Basisspezifikation - Abschnitt "reference".
Der Suchparameter "dosage-site" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?dosage-site=http://snomed.info/sct|9454009
Anwendungshinweise: Weitere Informationen zur Suche nach "dosage-site" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "dosage-route" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?dosage-route=http://standardterms.edqm.eu|20045000
Anwendungshinweise: Weitere Informationen zur Suche nach "dosage-route" finden sich in der FHIR-Basisspezifikation - Abschnitt "token".
Der Suchparameter "ratequantity" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?ratequantity=100|http://unitsofmeasure.org|mg
Anwendungshinweise: Weitere Informationen zur Suche nach "ratequantity" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio-numerator" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?rateratio-numerator=250|http://unitsofmeasure.org|mL
Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio-numerator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio-numerator" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?rateratio-denominator=1|http://unitsofmeasure.org|h
Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio-denominator" finden sich in der FHIR-Basisspezifikation - Abschnitt "quantity".
Der Suchparameter "rateratio" MUSS unterstützt werden:
Beispiele:
GET [base]/MedicationAdministration?rateratio=250|http://unitsofmeasure.org|mL$1|http://unitsofmeasure.org|h
Anwendungshinweise: Weitere Informationen zur Suche nach "rateratio" finden sich in der FHIR-Basisspezifikation - Abschnitt "composite".
Beispiele
Beispiel einer MedicationAdministration-Ressource mit Angaben zum Applikationsweg und der Dosierung
{ "resourceType": "MedicationAdministration", "id": "mii-exa-medikation-medication-administration", "meta": { "profile": [ "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration" ] }, "dosage": { "dose": { "system": "http://unitsofmeasure.org", "value": 85, "code": "mg", "unit": "mg" }, "rateRatio": { "denominator": { "system": "http://unitsofmeasure.org", "value": 1, "code": "h", "unit": "hour" }, "numerator": { "system": "http://unitsofmeasure.org", "value": 250, "code": "mL", "unit": "milliliter" } }, "route": { "coding": [ { "code": "20045000", "system": "http://standardterms.edqm.eu", "display": "Intravenous use" } ] } }, "effectivePeriod": { "end": "2020-01-06T11:20:00.000+00:00", "start": "2020-01-06T10:20:00.000+00:00" }, "medicationReference": { "reference": "Medication/mii-exa-medikation-medication-rezeptur" }, "status": "completed", "subject": { "reference": "Patient/example" } }