Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
meta		1..1	Meta	Metadata about the resource
Slices for profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
identifier		1..*	Identifier	Business Identifier for the resource
use		0..1	code	usual | official | temp | secondary | old (If known)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..0
instantiates		0..0
partOf		0..0
status		1..1	code	To show that the administration has been completed. Fixed Value: completed
statusReason		0..0
category		0..0
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept		1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
Slices for coding		1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode		0..1	Coding	Finnish PHR: VNR code of the medication
system		1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
code		1..1	code	Finnish PHR: VNR code defined by VNR code system
display		1..1	string	Representation defined by the system
coding:insulinCode		0..1	Coding	Finnish PHR: A code indicating the type of insulin
system		1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
code		1..1	code	Finnish PHR: A code of the medication
display		1..1	string	Representation defined by the system
text		1..1	string	Plain text representation of the concept
subject		1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
reference		1..1	string	Literal reference, Relative, internal or absolute URL
context		0..0
supportingInformation		0..0
effective[x]		1..1	dateTime, Period	Finnish PHR: Time of administration
performer
actor		1..1	Reference(Finnish PHR Patient profile) {r}	Who performed the medication administration
reference		1..1	string	Literal reference, Relative, internal or absolute URL
reasonCode		0..0
reasonReference		0..0
request		0..0
device		0..0
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(Finnish PHR Patient profile)
authorString			string
dosage
site
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1	Coding	Code defined by a terminology system Binding: http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite (required): A value set for the site location the medicine enters into or onto the body (Reference to the national AR/Lääkitys - Lääkkeenantopaikka code system.)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.246.537.5.163
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode
MedicationAdministration.dosage.site.coding:fiphrCoding	required	http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
meta	Σ	1..1	Meta	Metadata about the resource
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business Identifier for the resource
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	To show that the administration has been completed. Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Fixed Value: completed
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
Slices for coding	Σ	1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode	Σ	0..1	Coding	Finnish PHR: VNR code of the medication
system	Σ	1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
code	Σ	1..1	code	Finnish PHR: VNR code defined by VNR code system
display	Σ	1..1	string	Representation defined by the system
coding:insulinCode	Σ	0..1	Coding	Finnish PHR: A code indicating the type of insulin
system	Σ	1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
code	Σ	1..1	code	Finnish PHR: A code of the medication
display	Σ	1..1	string	Representation defined by the system
text	Σ	1..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	Σ	1..1		Finnish PHR: Time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.identifier.use	required	IdentifierUse
MedicationAdministration.status	required	Fixed Value: completed
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business Identifier for the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
status	?!Σ	1..1	code	To show that the administration has been completed. Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Fixed Value: completed
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode	Σ	0..1	Coding	Finnish PHR: VNR code of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Finnish PHR: VNR code defined by VNR code system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:insulinCode	Σ	0..1	Coding	Finnish PHR: A code indicating the type of insulin
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Finnish PHR: A code of the medication
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	1..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1		Finnish PHR: Time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who performed the medication administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Finnish PHR Patient profile)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage	C	0..1	BackboneElement	Details of how medication was taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	Σ	1..1	Coding	Code defined by a terminology system Binding: http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite (required): A value set for the site location the medicine enters into or onto the body (Reference to the national AR/Lääkitys - Lääkkeenantopaikka code system.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.246.537.5.163
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.meta.security	extensible	All Security Labels
MedicationAdministration.meta.tag	example	CommonTags
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.identifier.use	required	IdentifierUse
MedicationAdministration.identifier.type	extensible	Identifier Type Codes
MedicationAdministration.status	required	Fixed Value: completed
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode
MedicationAdministration.subject.type	extensible	ResourceType
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes
MedicationAdministration.performer.actor.type	extensible	ResourceType
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.site.coding:fiphrCoding	required	http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()

Summary

Mandatory: 11 elements (12 nested mandatory elements)
Fixed Value: 5 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• Finnish PHR Patient profile (http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient)

Extensions

This structure refers to these extensions:

• http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication

Slices

This structure defines the following Slices:

• The element MedicationAdministration.meta.profile is sliced based on the value of value:$this
• The element MedicationAdministration.medication[x] is sliced based on the value of type:$this
• The element MedicationAdministration.medication[x].coding is sliced based on the value of value:system
• The element MedicationAdministration.dosage.site.coding is sliced based on the value of value:system

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
meta		1..1	Meta	Metadata about the resource
Slices for profile		1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile		1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
identifier		1..*	Identifier	Business Identifier for the resource
use		0..1	code	usual | official | temp | secondary | old (If known)
system		1..1	uri	The namespace for the identifier value
value		1..1	string	The value that is unique
assigner		0..0
instantiates		0..0
partOf		0..0
status		1..1	code	To show that the administration has been completed. Fixed Value: completed
statusReason		0..0
category		0..0
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationCodeableConcept		1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
Slices for coding		1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode		0..1	Coding	Finnish PHR: VNR code of the medication
system		1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
code		1..1	code	Finnish PHR: VNR code defined by VNR code system
display		1..1	string	Representation defined by the system
coding:insulinCode		0..1	Coding	Finnish PHR: A code indicating the type of insulin
system		1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
code		1..1	code	Finnish PHR: A code of the medication
display		1..1	string	Representation defined by the system
text		1..1	string	Plain text representation of the concept
subject		1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
reference		1..1	string	Literal reference, Relative, internal or absolute URL
context		0..0
supportingInformation		0..0
effective[x]		1..1	dateTime, Period	Finnish PHR: Time of administration
performer
actor		1..1	Reference(Finnish PHR Patient profile) {r}	Who performed the medication administration
reference		1..1	string	Literal reference, Relative, internal or absolute URL
reasonCode		0..0
reasonReference		0..0
request		0..0
device		0..0
note
author[x]		0..1		Individual responsible for the annotation
authorReference			Reference(Finnish PHR Patient profile)
authorString			string
dosage
site
Slices for coding		1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding		1..1	Coding	Code defined by a terminology system Binding: http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite (required): A value set for the site location the medicine enters into or onto the body (Reference to the national AR/Lääkitys - Lääkkeenantopaikka code system.)
system		1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.246.537.5.163
code		1..1	code	Symbol in syntax defined by the system
display		1..1	string	Representation defined by the system
eventHistory		0..0
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode
MedicationAdministration.dosage.site.coding:fiphrCoding	required	http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
meta	Σ	1..1	Meta	Metadata about the resource
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business Identifier for the resource
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
status	?!Σ	1..1	code	To show that the administration has been completed. Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Fixed Value: completed
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
Slices for coding	Σ	1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode	Σ	0..1	Coding	Finnish PHR: VNR code of the medication
system	Σ	1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
code	Σ	1..1	code	Finnish PHR: VNR code defined by VNR code system
display	Σ	1..1	string	Representation defined by the system
coding:insulinCode	Σ	0..1	Coding	Finnish PHR: A code indicating the type of insulin
system	Σ	1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
code	Σ	1..1	code	Finnish PHR: A code of the medication
display	Σ	1..1	string	Representation defined by the system
text	Σ	1..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
effective[x]	Σ	1..1		Finnish PHR: Time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.identifier.use	required	IdentifierUse
MedicationAdministration.status	required	Fixed Value: completed
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	1..1	Meta	Metadata about the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
versionId	Σ	0..1	id	Version specific identifier
lastUpdated	Σ	0..1	instant	When the resource version last changed
source	Σ	0..1	uri	Identifies where the resource comes from
Slices for profile	Σ	1..*	canonical(StructureDefinition)	Profiles this resource claims to conform to Slice: Unordered, Open by value:$this
profile:fiphrProfile	Σ	1..1	canonical(StructureDefinition)	Profiles this resource claims to conform to Fixed Value: http://phr.kanta.fi/StructureDefinition/fiphr-sd-insulindosing-r4
security	Σ	0..*	Coding	Security Labels applied to this resource Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
tag	Σ	0..*	Coding	Tags applied to this resource Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		1..1	code	Language of the resource content Binding: CommonLanguages (required): A code of human language.
text		1..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
creatingApplication		0..*	(Complex)	Application identification URL: http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		1..*	Identifier	Business Identifier for the resource
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
use	?!Σ	0..1	code	usual | official | temp | secondary | old (If known) Binding: IdentifierUse (required): Identifies the purpose for this identifier, if known .
type	Σ	0..1	CodeableConcept	Description of identifier Binding: Identifier Type Codes (extensible): A coded type for an identifier that can be used to determine which identifier to use for a specific purpose.
system	Σ	1..1	uri	The namespace for the identifier value Example General: http://www.acme.com/identifiers/patient
value	Σ	1..1	string	The value that is unique Example General: 123456
period	Σ	0..1	Period	Time period when id is/was valid for use
status	?!Σ	1..1	code	To show that the administration has been completed. Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. Fixed Value: completed
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Open by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationCodeableConcept	Σ	1..1	CodeableConcept	Finnish PHR: Identifies the medication that was administered Binding: Value Set Finnish PHR Insulin Code (extensible): Codes identifying substance or product administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	In Finnish PHR either VNRCode or insulinCode SHALL be used. Other codes are optional. Slice: Unordered, Open by value:system
coding:VNRCode	Σ	0..1	Coding	Finnish PHR: VNR code of the medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Finnish PHR: VNR code system Fixed Value: urn:oid:1.2.246.537.6.55
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Finnish PHR: VNR code defined by VNR code system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
coding:insulinCode	Σ	0..1	Coding	Finnish PHR: A code indicating the type of insulin
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Finnish PHR: Code system for insulin codes Fixed Value: http://phr.kanta.fi/CodeSystem/fiphr-cs-insulincode
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Finnish PHR: A code of the medication
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	1..1	string	Plain text representation of the concept
subject	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who received medication
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
effective[x]	Σ	1..1		Finnish PHR: Time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Finnish PHR Patient profile) {r}	Who performed the medication administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	1..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Information about the administration
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Finnish PHR Patient profile)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage	C	0..1	BackboneElement	Details of how medication was taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	1..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:system
coding:fiphrCoding	Σ	1..1	Coding	Code defined by a terminology system Binding: http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite (required): A value set for the site location the medicine enters into or onto the body (Reference to the national AR/Lääkitys - Lääkkeenantopaikka code system.)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: urn:oid:1.2.246.537.5.163
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	1..1	code	Symbol in syntax defined by the system
display	Σ	1..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
route		0..1	CodeableConcept	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
dose		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.meta.security	extensible	All Security Labels
MedicationAdministration.meta.tag	example	CommonTags
MedicationAdministration.language	required	CommonLanguages
MedicationAdministration.identifier.use	required	IdentifierUse
MedicationAdministration.identifier.type	extensible	Identifier Type Codes
MedicationAdministration.status	required	Fixed Value: completed
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	extensible	fiphr-vs-insulincode
MedicationAdministration.subject.type	extensible	ResourceType
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes
MedicationAdministration.performer.actor.type	extensible	ResourceType
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.site.coding:fiphrCoding	required	http://phr.kanta.fi/ValueSet/fiphr-vs-dosagesite
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes

Constraints

Id	Grade	Path(s)	Details	Requirements
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()

Summary

Mandatory: 11 elements (12 nested mandatory elements)
Fixed Value: 5 elements
Prohibited: 12 elements

Structures

This structure refers to these other structures:

• Finnish PHR Patient profile (http://phr.kanta.fi/StructureDefinition/fiphr-sd-patient)

Extensions

This structure refers to these extensions:

• http://phr.kanta.fi/StructureDefinition/fiphr-ext-creatingapplication

Slices

This structure defines the following Slices:

• The element MedicationAdministration.meta.profile is sliced based on the value of value:$this
• The element MedicationAdministration.medication[x] is sliced based on the value of type:$this
• The element MedicationAdministration.medication[x].coding is sliced based on the value of value:system
• The element MedicationAdministration.dosage.site.coding is sliced based on the value of value:system