Finnish Base Profiles
1.0.0 - trial-use
Finnish Base Profiles
1.0.0 - trial-use
This page is part of the Finnish Base Profiles (v1.0.0: STU 1) based on FHIR R4. This is the current published version in its permanent home (it will always be available at this URL). For a full list of available versions, see the Directory of published versions
| Official URL: https://hl7.fi/fhir/finnish-base-profiles/StructureDefinition/fi-base-medication-administration | Version: 1.0.0 | |||
| Active as of 2023-11-10 | Computable Name: FiBaseMedicationAdministration | |||
This is the Finnish base profile for the MedicationAdministration resource.
This implementation guide does not further profile the MedicationAdministration resource.
This implementation guide does present examples of the MedicationAdministration resource being used in Finnish context.
See also the Medication Codes section on the terminology page of this guide, and the Medications Module of the main FHIR specification.
For all medication related resources (Medication, MedicationAdministration, MedicationRequest, MedicationStatement), please also see the Prescription project and the related implementation guide of the Kanta system. That project contains useful definitions, examples, and sequence descriptions (mostly in Finnish).
Usage:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
  implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
 modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
 partOf | Σ | 0..* | Reference(Fi Base Procedure | FI Base MedicationAdministration) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
  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]:medicationReference | Σ | 0..1 | Reference(FI Base Patient Medication) | What was administered |
| subject | Σ | 1..1 | Reference(FI Base Patient | Group) | Who received medication |
| context | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
 effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
 effectivePeriod | Period | |||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(FI Base MedicationRequest) | Request administration performed against | |
| eventHistory | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationAdministration.status | required | MedicationAdministration Status Codes |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes |
| 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 | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
 extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External identifier | |||||
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition | ||||
| partOf | Σ | 0..* | Reference(Fi Base Procedure | FI Base MedicationAdministration) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| 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]:medicationReference | Σ | 0..1 | Reference(FI Base Patient Medication) | What was administered | ||||
| subject | Σ | 1..1 | Reference(FI Base Patient | Group) | Who received medication | ||||
| context | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] | Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
| actor | Σ | 1..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request | 0..1 | Reference(FI Base MedicationRequest) | Request administration performed against | |||||
| device | 0..* | Reference(Device) | Device used to administer | |||||
| note | 0..* | Annotation | Information about the administration | |||||
| 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. | |||||
| 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) | |||||||
| eventHistory | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationAdministration.language | preferred | CommonLanguages
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Differential View
This structure is derived from MedicationAdministration
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration | 0..* | MedicationAdministration | Administration of medication to a patient | |
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created |
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored |
| partOf | Σ | 0..* | Reference(Fi Base Procedure | FI Base MedicationAdministration) | Part of referenced event |
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. |
| 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]:medicationReference | Σ | 0..1 | Reference(FI Base Patient Medication) | What was administered |
| subject | Σ | 1..1 | Reference(FI Base Patient | Group) | Who received medication |
| context | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
| effective[x] | Σ | 1..1 | Start and end time of administration | |
| effectiveDateTime | dateTime | |||
| effectivePeriod | Period | |||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |
| request | 0..1 | Reference(FI Base MedicationRequest) | Request administration performed against | |
| eventHistory | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |
| Documentation for this format | ||||
| Path | Conformance | ValueSet |
| MedicationAdministration.status | required | MedicationAdministration Status Codes |
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes |
| 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() |
Snapshot View
| 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 | 0..1 | Meta | Metadata about the resource | ||||
| implicitRules | ?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
| language | 0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
| text | 0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained | 0..* | Resource | Contained, inline Resources | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?! | 0..* | Extension | Extensions that cannot be ignored | ||||
| identifier | 0..* | Identifier | External identifier | |||||
| instantiates | Σ | 0..* | uri | Instantiates protocol or definition | ||||
| partOf | Σ | 0..* | Reference(Fi Base Procedure | FI Base MedicationAdministration) | Part of referenced event | ||||
| status | ?!Σ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
| statusReason | 0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
| category | 0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| 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]:medicationReference | Σ | 0..1 | Reference(FI Base Patient Medication) | What was administered | ||||
| subject | Σ | 1..1 | Reference(FI Base Patient | Group) | Who received medication | ||||
| context | 0..1 | Reference(FI Base Encounter | FI Base EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
| supportingInformation | 0..* | Reference(Resource) | Additional information to support administration | |||||
| effective[x] | Σ | 1..1 | Start and end time of administration | |||||
| effectiveDateTime | dateTime | |||||||
| effectivePeriod | Period | |||||||
| performer | Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
| id | 0..1 | string | Unique id for inter-element referencing | |||||
| extension | 0..* | Extension | Additional content defined by implementations | |||||
| modifierExtension | ?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
| function | 0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
| actor | Σ | 1..1 | Reference(FI Base Practitioner | FI Base PractitionerRole | FI Base Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode | 0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
| reasonReference | 0..* | Reference(FI Base Condition | FI Base Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
| request | 0..1 | Reference(FI Base MedicationRequest) | Request administration performed against | |||||
| device | 0..* | Reference(Device) | Device used to administer | |||||
| note | 0..* | Annotation | Information about the administration | |||||
| 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. | |||||
| 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) | |||||||
| eventHistory | 0..* | Reference(FI Base Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | ||||
| MedicationAdministration.language | preferred | CommonLanguages
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codes | ||||
| MedicationAdministration.statusReason | example | SNOMEDCTReasonMedicationNotGivenCodes | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codes | ||||
| MedicationAdministration.medication[x] | example | SNOMEDCTMedicationCodes | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codes | ||||
| MedicationAdministration.reasonCode | example | ReasonMedicationGivenCodes | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodes | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodes | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodes |
| Id | Grade | Path(s) | Details | Requirements |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty() | |
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty() | |
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty() | |
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label : contained.meta.security.empty() | |
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management : text.`div`.exists() | |
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children : hasValue() or (children().count() > id.count()) | |
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both : extension.exists() != value.exists() | |
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists() |
This structure is derived from MedicationAdministration
Summary
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron
IG © 2022+ HL7 Finland. Package hl7.fhir.fi.base#1.0.0 based on FHIR 4.0.1. Generated 2023-11-10
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