This page is part of the US Quality Core (v0.5.0: Release) based on FHIR (HL7® FHIR® Standard) 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: http://fhir.org/guides/onc/us-quality-core/StructureDefinition/us-quality-core-medicationadministration | Version: 0.5.0 | ||||
| Draft as of 2026-06-05 | Computable Name: USQualityCoreMedicationAdministration | ||||
Profile of MedicationAdministration for decision support/quality metrics. Defines the core set of elements and extensions for quality rule and measure authors.
Systems are expected to support this profile as part of implementing USCDI+ Quality V1 in FHIR and meeting the conformance requirements of this guide.
The following elements are specifically relevant to USCDI+ Quality V1 data classes and elements. Systems are expected to support these elements as applicable to their role in US Quality Core data exchange. See the Must Support section of this guide for more information. These elements are tagged as (USCDI+ Quality) in the formal profile views.
USCDI+ Quality Elements:
The Formal Views section also provides the formal summary, definitions, terminology requirements, and mandatory element requirements.
To represent that a medication administration intentionally did not occur for a medical, patient, or system reason, use the US Quality Core MedicationAdministration Not Done profile.
Additional informational guidance for authoring CQL using this profile is provided in the CQL Authoring Usage (Informational) section of this page.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) |
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | |
![]() ![]() ![]() |
CodeableConcept | |||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Who received medication |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) Start and end time of administration | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |
![]() ![]() |
C | 0..1 | BackboneElement | (USCDI+ Quality) Constraints: mad-1 |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |
![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |
![]() ![]() |
1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) | |
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed | |
![]() ![]() |
1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | ||
![]() ![]() ![]() |
CodeableConcept | |||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | Who received medication | |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
![]() ![]() |
1..1 | dateTime, Period | (USCDI+ Quality) Start and end time of administration | |
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |
![]() ![]() |
0..1 | BackboneElement | (USCDI+ Quality) | |
![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |
![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | External identifier | |||||
![]() ![]() |
Σ | 0..* | uri | Instantiates protocol or definition | ||||
![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | ||||
![]() ![]() |
?!Σ | 1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) | ||||
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
![]() ![]() |
0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | |||||
![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||||||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Who received medication | ||||
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
![]() ![]() |
0..* | Reference(Resource) | Additional information to support administration | |||||
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) Start and end time of administration | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
![]() ![]() |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
![]() ![]() |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |||||
![]() ![]() |
0..* | Reference(Device) | Device used to administer | |||||
![]() ![]() |
0..* | Annotation | Information about the administration | |||||
![]() ![]() |
C | 0..1 | BackboneElement | (USCDI+ Quality) Constraints: mad-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
![]() ![]() ![]() |
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. | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |||||
![]() ![]() ![]() |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |||||
![]() ![]() ![]() |
0..1 | Dose quantity per unit of time | ||||||
![]() ![]() ![]() ![]() |
Ratio | |||||||
![]() ![]() ![]() ![]() |
Quantity(SimpleQuantity) | |||||||
![]() ![]() |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Summary
Structures
This structure refers to these other structures:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created |
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored |
![]() ![]() |
?!Σ | 1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) |
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | |
![]() ![]() ![]() |
CodeableConcept | |||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Who received medication |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) Start and end time of administration | |
![]() ![]() ![]() |
dateTime | |||
![]() ![]() ![]() |
Period | |||
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |
![]() ![]() |
C | 0..1 | BackboneElement | (USCDI+ Quality) Constraints: mad-1 |
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized |
![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |
![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
Differential View
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() |
|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |
![]() ![]() |
1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) | |
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed | |
![]() ![]() |
1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | ||
![]() ![]() ![]() |
CodeableConcept | |||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||
![]() ![]() |
1..1 | Reference(US Quality Core Patient) | Who received medication | |
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |
![]() ![]() |
1..1 | dateTime, Period | (USCDI+ Quality) Start and end time of administration | |
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |
![]() ![]() |
0..1 | BackboneElement | (USCDI+ Quality) | |
![]() ![]() ![]() |
0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |
![]() ![]() ![]() |
0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |
Documentation for this format | ||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: ![]() ![]() | ||||
|---|---|---|---|---|---|---|---|---|
![]() |
0..* | MedicationAdministration | Administration of medication to a patient | |||||
![]() ![]() |
Σ | 0..1 | id | Logical id of this artifact | ||||
![]() ![]() |
Σ | 0..1 | Meta | Metadata about the resource | ||||
![]() ![]() |
?!Σ | 0..1 | uri | A set of rules under which this content was created | ||||
![]() ![]() |
0..1 | code | Language of the resource content Binding: CommonLanguages (preferred): A human language.
| |||||
![]() ![]() |
0..1 | Narrative | Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements | |||||
![]() ![]() |
0..* | Resource | Contained, inline Resources | |||||
![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() |
?! | 0..* | Extension | Extensions that cannot be ignored | ||||
![]() ![]() |
0..* | Identifier | External identifier | |||||
![]() ![]() |
Σ | 0..* | uri | Instantiates protocol or definition | ||||
![]() ![]() |
Σ | 0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | ||||
![]() ![]() |
?!Σ | 1..1 | code | (USCDI+ Quality) in-progress | on-hold | completed | entered-in-error | stopped | unknown Binding: Non-Negative MedicationAdministration Status (required) | ||||
![]() ![]() |
0..* | CodeableConcept | Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated. | |||||
![]() ![]() |
0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) What was administered Binding: Medication Clinical Drug (preferred): The set of RxNorm codes to represent medications | |||||
![]() ![]() ![]() |
CodeableConcept | |||||||
![]() ![]() ![]() |
Reference(US Quality Core Medication) | |||||||
![]() ![]() |
Σ | 1..1 | Reference(US Quality Core Patient) | Who received medication | ||||
![]() ![]() |
0..1 | Reference(US Quality Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||
![]() ![]() |
0..* | Reference(Resource) | Additional information to support administration | |||||
![]() ![]() |
Σ | 1..1 | (USCDI+ Quality) Start and end time of administration | |||||
![]() ![]() ![]() |
dateTime | |||||||
![]() ![]() ![]() |
Period | |||||||
![]() ![]() |
Σ | 0..* | BackboneElement | Who performed the medication administration and what they did | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | CodeableConcept | Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication. | |||||
![]() ![]() ![]() |
Σ | 1..1 | Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
![]() ![]() |
0..* | CodeableConcept | Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made. | |||||
![]() ![]() |
0..* | Reference(Condition | Observation | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||
![]() ![]() |
0..1 | Reference(US Quality Core MedicationRequest) | Request administration performed against | |||||
![]() ![]() |
0..* | Reference(Device) | Device used to administer | |||||
![]() ![]() |
0..* | Annotation | Information about the administration | |||||
![]() ![]() |
C | 0..1 | BackboneElement | (USCDI+ Quality) Constraints: mad-1 | ||||
![]() ![]() ![]() |
0..1 | string | Unique id for inter-element referencing | |||||
![]() ![]() ![]() |
0..* | Extension | Additional content defined by implementations | |||||
![]() ![]() ![]() |
?!Σ | 0..* | Extension | Extensions that cannot be ignored even if unrecognized | ||||
![]() ![]() ![]() |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
![]() ![]() ![]() |
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. | |||||
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0..1 | CodeableConcept | (USCDI+ Quality) Path of substance into body Binding: SNOMEDCTRouteCodes (preferred) | |||||
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0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
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0..1 | SimpleQuantity(4.0.1) | (USCDI+ Quality) Amount of medication per dose | |||||
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0..1 | Dose quantity per unit of time | ||||||
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Ratio | |||||||
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Quantity(SimpleQuantity) | |||||||
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0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
Documentation for this format | ||||||||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | Non-Negative MedicationAdministration Status | 📦0.5.0 | This IG |
| MedicationAdministration.statusReason | Base | example | SNOMED CT Reason Medication Not Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.category | Base | preferred | Medication administration category codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.medication[x] | Base | preferred |
Medication Clinical Drug
|
📦20170601 | VSAC v0.18 |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | preferred | SNOMED CT Route Codes | 📦4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| 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()
|
Summary
Structures
This structure refers to these other structures:
Other representations of profile: CSV, Excel, Schematron
To create an expression specifically requesting information that a MedicationAdministration intentionally did not occur for a medical, patient or system reason, use the profile USQualityCore MedicationAdministration Not Done.
The following example illustrates accessing MedicationAdministration data:
define "Low Dose Unfractionated Heparin Administration":
["MedicationAdministration": medication in "Low Dose Unfractionated Heparin for VTE Prophylaxis"] VTEMedication
where VTEMedication.status = 'completed'