FHIR Implementatiegids voor de Nederlandse Kankerregistratie - Local Development build (v1.2.2) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: NcrEhrMedicationAdministration

Usage:

• This Resource Profile is not used by any profiles in this Implementation Guide

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Key Elements Table
• Differential Table
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Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
agreedDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime"
asAgreedIndicator	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator"
medicationAdministrationReasonForDeviation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation"
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
injectionPatchSite	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite"
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministration Status Codes (required): Use ConceptMap 'MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes' to translate zib terminology to profile terminology in ValueSet 'MedicationAdministration Status Codes' ele-1: All FHIR elements must have a @value or children Required Pattern: completed
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
Slices for extension				Content/Rules for all slices
additionalCategory	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory"
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(NcrEhrMedication)	AdministrationProduct ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who received medication ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for supportingInformation	CN	0..*	Reference(Resource)	Additional information to support administration Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation:administrationAgreement	CN	0..1	Reference(mp AdministrationAgreement)	AdministrationAgreement ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	Σ	1..1	dateTime	Start and end time of administration Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	AdministrationDateTime ele-1: All FHIR elements must have a @value or children
performer	Σ	0..1	BackboneElement	Administrator ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	ΣC	1..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | nl core Patient | nl core HealthProfessional PractitionerRole | nl core ContactPerson)	Patient / HealthProfessional / Caregiver ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
request	SC	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for extension				Content/Rules for all slices
resourceCategory	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Information about the administration ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	Comment ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.category	preferred	Pattern: SNOMED-CT Code 18629005 http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

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()
ref-1	error	MedicationAdministration.subject, MedicationAdministration.supportingInformation, MedicationAdministration.supportingInformation:administrationAgreement, MedicationAdministration.performer.actor, MedicationAdministration.request	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

This structure is derived from MpMedicationAdministration2

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration
status		1..1	code	MedicationAdministrationStatus Required Pattern: completed
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	S	0..1	Reference(NcrEhrMedication)	AdministrationProduct
subject	S	1..1	Reference(NcrEhrPatient)	Who received medication
Slices for effective[x]				Content/Rules for all slices
effective[x]:effectiveDateTime	S	1..1	dateTime	AdministrationDateTime
request	S	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
agreedDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime"
value[x]	N	0..1	dateTime	AgreedDateTime
asAgreedIndicator	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator"
value[x]	N	0..1	boolean	AsAgreedIndicator
medicationAdministrationReasonForDeviation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation"
value[x]	N	0..1	CodeableConcept	MedicationAdministrationReasonForDeviation Binding: MedicatieToedieningRedenVanAfwijkenCodelijst (required)
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
value[x]	N	0..1	Identifier	Pharmaceutical Treatment Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	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	ΣN	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	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
injectionPatchSite	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite"
value[x]	N	0..1	CodeableConcept	InjectionPatchSite Binding: PrikPlakLocatieCodeLijst (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
laterality	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
coding	ΣN	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
value[x]	N	0..1	dateTime	RegistrationDateTime
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier		0..*	Identifier	Identification
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	ΣC	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministration Status Codes (required): Use ConceptMap 'MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes' to translate zib terminology to profile terminology in ValueSet 'MedicationAdministration Status Codes' Required Pattern: completed
statusReason		0..*	CodeableConcept	Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
additionalCategory	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory"
value[x]	N	0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(NcrEhrMedication)	AdministrationProduct
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who received medication ref-1: SHALL have a contained resource if a local reference is provided
context	C	0..1	Reference(Encounter | EpisodeOfCare | nl core Encounter | nl core EpisodeOfCare)	RelationEncounter / RelationEpisodeOfCare ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
value[x]	N	0..1	Reference(EpisodeOfCare | nl core EpisodeOfCare)	RelatedEpisodeOfCare
reference	ΣC	0..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
Slices for supportingInformation	CN	0..*	Reference(Resource)	Additional information to support administration Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation:administrationAgreement	CN	0..1	Reference(mp AdministrationAgreement)	AdministrationAgreement ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	Σ	1..1	dateTime	Start and end time of administration Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	AdministrationDateTime
performer	Σ	0..1	BackboneElement	Administrator
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	ΣC	1..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | nl core Patient | nl core HealthProfessional PractitionerRole | nl core ContactPerson)	Patient / HealthProfessional / Caregiver ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered ref-1: SHALL have a contained resource if a local reference is provided
request	SC	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
resourceCategory	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory
reference	ΣC	0..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
device	C	0..*	Reference(Device)	Device used to administer ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the administration
id		0..1	string	Unique id for inter-element referencing
extension	N	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(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	RouteOfAdministration Binding: MedicatieToedieningToedieningswegCodelijst (required): 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	C	0..1	PatternGstdSimpleQuantity	AdministeredAmount qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	N	0..1		Dose quantity per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateQuantity	N	0..1	SimpleQuantity	AdministeringSpeed / nominalValue
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x]	required	MedicatieToedieningRedenVanAfwijkenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.47--20240131165054
MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.extension:injectionPatchSite.value[x]	required	PrikPlakLocatieCodeLijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.53--20220323181942
MedicationAdministration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	Pattern: SNOMED-CT Code 18629005 http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.category.extension:additionalCategory.value[x]	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.context.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.request.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	required	MedicatieToedieningToedieningswegCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20200901000000
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

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()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
per-1	error	MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationAdministration.dosage.dose	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].assigner, MedicationAdministration.partOf, MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.supportingInformation:administrationAgreement, MedicationAdministration.performer.actor, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationAdministration.dosage.dose	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MpMedicationAdministration2

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• NcrEhrMedication (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication)
• NcrEhrPatient (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-patient)
• NcrEhrMedicationAgreement (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication-agreement)

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-3: 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 dom-6: A resource should have narrative for robust management dom-5: If a resource is contained in another resource, it SHALL NOT have a security label
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
Slices for extension				Content/Rules for all slices
agreedDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime"
asAgreedIndicator	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator"
medicationAdministrationReasonForDeviation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation"
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
injectionPatchSite	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite"
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministration Status Codes (required): Use ConceptMap 'MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes' to translate zib terminology to profile terminology in ValueSet 'MedicationAdministration Status Codes' ele-1: All FHIR elements must have a @value or children Required Pattern: completed
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
Slices for extension				Content/Rules for all slices
additionalCategory	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory"
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered. ele-1: All FHIR elements must have a @value or children
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(NcrEhrMedication)	AdministrationProduct ele-1: All FHIR elements must have a @value or children
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who received medication ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for supportingInformation	CN	0..*	Reference(Resource)	Additional information to support administration Slice: Unordered, Open by profile:resolve() ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation:administrationAgreement	CN	0..1	Reference(mp AdministrationAgreement)	AdministrationAgreement ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	Σ	1..1	dateTime	Start and end time of administration Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	AdministrationDateTime ele-1: All FHIR elements must have a @value or children
performer	Σ	0..1	BackboneElement	Administrator ele-1: All FHIR elements must have a @value or children
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
actor	ΣC	1..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | nl core Patient | nl core HealthProfessional PractitionerRole | nl core ContactPerson)	Patient / HealthProfessional / Caregiver ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
request	SC	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement ele-1: All FHIR elements must have a @value or children ref-1: SHALL have a contained resource if a local reference is provided
Slices for extension				Content/Rules for all slices
resourceCategory	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
note		0..1	Annotation	Information about the administration ele-1: All FHIR elements must have a @value or children
text	Σ	1..1	markdown	Comment ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.category	preferred	Pattern: SNOMED-CT Code 18629005 http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard

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()
ref-1	error	MedicationAdministration.subject, MedicationAdministration.supportingInformation, MedicationAdministration.supportingInformation:administrationAgreement, MedicationAdministration.performer.actor, MedicationAdministration.request	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))

Differential View

This structure is derived from MpMedicationAdministration2

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration
status		1..1	code	MedicationAdministrationStatus Required Pattern: completed
Slices for medication[x]				Content/Rules for all slices
medication[x]:medicationReference	S	0..1	Reference(NcrEhrMedication)	AdministrationProduct
subject	S	1..1	Reference(NcrEhrPatient)	Who received medication
Slices for effective[x]				Content/Rules for all slices
effective[x]:effectiveDateTime	S	1..1	dateTime	AdministrationDateTime
request	S	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement
Documentation for this format

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MpMedicationAdministration2	MedicationAdministration
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. Additional Bindings Purpose AllLanguages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
agreedDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime"
value[x]	N	0..1	dateTime	AgreedDateTime
asAgreedIndicator	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AsAgreedIndicator"
value[x]	N	0..1	boolean	AsAgreedIndicator
medicationAdministrationReasonForDeviation	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation"
value[x]	N	0..1	CodeableConcept	MedicationAdministrationReasonForDeviation Binding: MedicatieToedieningRedenVanAfwijkenCodelijst (required)
pharmaceuticalTreatmentIdentifier	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-PharmaceuticalTreatment.Identifier"
value[x]	N	0..1	Identifier	Pharmaceutical Treatment Identifier
id		0..1	string	Unique id for inter-element referencing
extension	N	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	ΣN	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	ΣCN	0..1	Period	Time period when id is/was valid for use per-1: If present, start SHALL have a lower value than end
assigner	ΣCN	0..1	Reference(Organization)	Organization that issued id (may be just text) ref-1: SHALL have a contained resource if a local reference is provided
injectionPatchSite	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.InjectionPatchSite"
value[x]	N	0..1	CodeableConcept	InjectionPatchSite Binding: PrikPlakLocatieCodeLijst (required)
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
laterality	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AnatomicalLocation.Laterality Binding: LateraliteitCodelijst (required)
coding	ΣN	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
registrationDateTime	N	0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-RegistrationDateTime"
value[x]	N	0..1	dateTime	RegistrationDateTime
modifierExtension	?!N	0..*	Extension	Extensions that cannot be ignored Slice: Unordered, Open by value:url
identifier		0..*	Identifier	Identification
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	ΣC	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event ref-1: SHALL have a contained resource if a local reference is provided
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministration Status Codes (required): Use ConceptMap 'MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes' to translate zib terminology to profile terminology in ValueSet 'MedicationAdministration Status Codes' Required Pattern: completed
statusReason		0..*	CodeableConcept	Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
additionalCategory	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-AdditionalCategory"
value[x]	N	0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred)
coding	Σ	0..*	Coding	Code defined by a terminology system
text	Σ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(NcrEhrMedication)	AdministrationProduct
subject	SΣC	1..1	Reference(NcrEhrPatient)	Who received medication ref-1: SHALL have a contained resource if a local reference is provided
context	C	0..1	Reference(Encounter | EpisodeOfCare | nl core Encounter | nl core EpisodeOfCare)	RelationEncounter / RelationEpisodeOfCare ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
relationEpisodeOfCare	N	0..*	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/ext-Context-EpisodeOfCare"
value[x]	N	0..1	Reference(EpisodeOfCare | nl core EpisodeOfCare)	RelatedEpisodeOfCare
reference	ΣC	0..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
Slices for supportingInformation	CN	0..*	Reference(Resource)	Additional information to support administration Slice: Unordered, Open by profile:resolve() ref-1: SHALL have a contained resource if a local reference is provided
supportingInformation:administrationAgreement	CN	0..1	Reference(mp AdministrationAgreement)	AdministrationAgreement ref-1: SHALL have a contained resource if a local reference is provided
Slices for effective[x]	Σ	1..1	dateTime	Start and end time of administration Slice: Unordered, Closed by type:$this
effective[x]:effectiveDateTime	SΣ	1..1	dateTime	AdministrationDateTime
performer	Σ	0..1	BackboneElement	Administrator
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	ΣC	1..1	PatternNlCoreHealthProfessionalReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | nl core Patient | nl core HealthProfessional PractitionerRole | nl core ContactPerson)	Patient / HealthProfessional / Caregiver ref-1: SHALL have a contained resource if a local reference is provided
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference	C	0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered ref-1: SHALL have a contained resource if a local reference is provided
request	SC	1..1	Reference(NcrEhrMedicationAgreement)	MedicationAgreement ref-1: SHALL have a contained resource if a local reference is provided
id		0..1	string	Unique id for inter-element referencing
Slices for extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
resourceCategory	N	0..1	CodeableConcept	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/ext-ResourceCategory
reference	ΣC	0..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
device	C	0..*	Reference(Device)	Device used to administer ref-1: SHALL have a contained resource if a local reference is provided
note		0..1	Annotation	Information about the administration
id		0..1	string	Unique id for inter-element referencing
extension	N	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(Practitioner | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	Comment
dosage	C	0..1	BackboneElement	Details of how medication was taken mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
id		0..1	string	Unique id for inter-element referencing
extension	N	0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
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	RouteOfAdministration Binding: MedicatieToedieningToedieningswegCodelijst (required): 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	C	0..1	PatternGstdSimpleQuantity	AdministeredAmount qty-3: If a code for the unit is present, the system SHALL also be present sqty-1: The comparator is not used on a SimpleQuantity
Slices for rate[x]	N	0..1		Dose quantity per unit of time Slice: Unordered, Open by type:$this
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
rate[x]:rateQuantity	N	0..1	SimpleQuantity	AdministeringSpeed / nominalValue
eventHistory	C	0..*	Reference(Provenance)	A list of events of interest in the lifecycle ref-1: SHALL have a contained resource if a local reference is provided
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code	URI
MedicationAdministration.language	preferred	CommonLanguages http://hl7.org/fhir/ValueSet/languages from the FHIR Standard Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x]	required	MedicatieToedieningRedenVanAfwijkenCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.47--20240131165054
MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].use	required	IdentifierUse http://hl7.org/fhir/ValueSet/identifier-use|4.0.1 from the FHIR Standard
MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].type	extensible	Identifier Type Codes http://hl7.org/fhir/ValueSet/identifier-type from the FHIR Standard
MedicationAdministration.extension:injectionPatchSite.value[x]	required	PrikPlakLocatieCodeLijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.53--20220323181942
MedicationAdministration.status	required	Pattern: completed http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	preferred	Pattern: SNOMED-CT Code 18629005 http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.category.extension:additionalCategory.value[x]	preferred	MedicationAdministration Category Codes http://hl7.org/fhir/ValueSet/medication-admin-category from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.context.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.request.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	required	MedicatieToedieningToedieningswegCodelijst http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20200901000000
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

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()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
per-1	error	MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].period	If present, start SHALL have a lower value than end : start.hasValue().not() or end.hasValue().not() or (start <= end)
qty-3	error	MedicationAdministration.dosage.dose	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
ref-1	error	MedicationAdministration.extension:pharmaceuticalTreatmentIdentifier.value[x].assigner, MedicationAdministration.partOf, MedicationAdministration.subject, MedicationAdministration.context, MedicationAdministration.supportingInformation, MedicationAdministration.supportingInformation:administrationAgreement, MedicationAdministration.performer.actor, MedicationAdministration.reasonReference, MedicationAdministration.request, MedicationAdministration.device, MedicationAdministration.eventHistory	SHALL have a contained resource if a local reference is provided : reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))
sqty-1	error	MedicationAdministration.dosage.dose	The comparator is not used on a SimpleQuantity : comparator.empty()

This structure is derived from MpMedicationAdministration2

Summary

Mandatory: 2 elements
Must-Support: 4 elements

Structures

This structure refers to these other structures:

• NcrEhrMedication (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication)
• NcrEhrPatient (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-patient)
• NcrEhrMedicationAgreement (http://fhir.iknl.nl/fhir/iknl-ncr-ehr-r4/StructureDefinition/ncr-ehr-medication-agreement)

Other representations of profile: CSV, Excel, Schematron