MII IG Kerndatensatz-Modul Bildgebung
2027.0.0-ballot.1 - Germany

This page is part of the MII Implementation Guide Bildgebung (v2027.0.0-ballot.1: Release) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MII PR Bildgebung Konstrastmittelgabe

Official URL: https://www.medizininformatik-initiative.de/fhir/ext/modul-bildgebung/StructureDefinition/mii-pr-bildgebung-kontrastmittelgabe Version: 2027.0.0-ballot.1
Active as of 2026-09-15 Computable Name: MII_PR_Bildgebung_Kontrastmittelgabe

The profile describes medication administration for contrastmedication.

This MedicationAdministration resource is used to record the administration of contrast media from the RIS via the imaging procedure. This is an alternative to the representation via the ImagingStudy from the DICOM metadata.

The mapping of the dataset elements to this profile is documented in the Logical Model Bildgebung.

Examples

Example of a MedicationAdministration resource with the application of a contrast medium:

MedicationAdministration-mii-exa-bildgebung-kontrastmittelgabe

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots, and their representations.

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier Identifikator
... partOf SΣ 0..* Reference(MedicationAdministration | Procedure)
... status ?!SΣ 1..1 code
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... category S 0..1 CodeableConcept Kategorie
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... Slices for medication[x] SΣ 1..1
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) What was administered
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What was administered
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Person
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Period Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... performer SΣ 0..* BackboneElement Ausführende*r
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Who performed the medication administration
... reasonCode S 0..* CodeableConcept Grund Code
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... request S 0..1 Reference(MedicationRequest) Verordnung
... note S 0..* Annotation Hinweis
... dosage SC 1..1 BackboneElement Dosierung
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site S 0..1 CodeableConcept Applikationsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route S 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... dose S 1..1 SimpleQuantity(4.0.1)
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... Slices for rate[x] S 0..1 Dose quantity per unit of time
Slice: Unordered, Closed by type:$this
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
..... rate[x]:rateRatio S 0..1 Ratio Dose quantity per unit of time
...... numerator SΣ 0..1 Quantity Numerator value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... denominator SΣ 0..1 Quantity Denominator value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
..... rate[x]:rateQuantity S 0..1 SimpleQuantity Dose quantity per unit of time
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
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.site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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()

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... partOf 0..* Reference(MedicationAdministration | Procedure)
... status 1..1 code
... medication[x] 1..1 CodeableConcept, Reference(Medication)
... effective[x] 1..1 Period Zeitpunkt oder Zeitraum
... dosage 1..1 BackboneElement Dosierung
.... dose 1..1 SimpleQuantity(4.0.1)

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifikator
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf SΣ 0..* Reference(MedicationAdministration | Procedure)
... status ?!SΣ 1..1 code
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
... category S 0..1 CodeableConcept Kategorie
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... Slices for medication[x] SΣ 1..1
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) What was administered
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What was administered
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Person
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] SΣ 1..1 Period Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... performer SΣ 0..* BackboneElement Ausführende*r
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Who performed the medication administration
... reasonCode S 0..* CodeableConcept Grund Code
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... request S 0..1 Reference(MedicationRequest) Verordnung
... device 0..* Reference(Device) Device used to administer
... note S 0..* Annotation Hinweis
... dosage SC 1..1 BackboneElement Dosierung
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site S 0..1 CodeableConcept Applikationsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route S 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... dose S 1..1 SimpleQuantity(4.0.1)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... Slices for rate[x] S 0..1 Dose quantity per unit of time
Slice: Unordered, Closed by type:$this
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
..... rate[x]:rateRatio S 0..1 Ratio Dose quantity per unit of time
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... numerator SΣ 0..1 Quantity Numerator value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... denominator SΣ 0..1 Quantity Denominator value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
..... rate[x]:rateQuantity S 0..1 SimpleQuantity Dose quantity per unit of time
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
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 example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
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.site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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

Mandatory: 2 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier Identifikator
... partOf SΣ 0..* Reference(MedicationAdministration | Procedure)
... status ?!SΣ 1..1 code
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... category S 0..1 CodeableConcept Kategorie
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... Slices for medication[x] SΣ 1..1
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) What was administered
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What was administered
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... code SΣ 1..1 code Symbol in syntax defined by the system
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Person
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... Slices for effective[x] SΣ 1..1 Period Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... performer SΣ 0..* BackboneElement Ausführende*r
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Who performed the medication administration
... reasonCode S 0..* CodeableConcept Grund Code
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... request S 0..1 Reference(MedicationRequest) Verordnung
... note S 0..* Annotation Hinweis
... dosage SC 1..1 BackboneElement Dosierung
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site S 0..1 CodeableConcept Applikationsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... route S 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... code SΣ 1..1 code Symbol in syntax defined by the system
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
....... version 0..1 string Version of the system - if relevant
....... display 0..1 string Representation defined by the system
....... userSelected 0..1 boolean If this coding was chosen directly by the user
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... code SΣ 1..1 code Symbol in syntax defined by the system
.... dose S 1..1 SimpleQuantity(4.0.1)
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... Slices for rate[x] S 0..1 Dose quantity per unit of time
Slice: Unordered, Closed by type:$this
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
..... rate[x]:rateRatio S 0..1 Ratio Dose quantity per unit of time
...... numerator SΣ 0..1 Quantity Numerator value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... denominator SΣ 0..1 Quantity Denominator value
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
..... rate[x]:rateQuantity S 0..1 SimpleQuantity Dose quantity per unit of time
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
MedicationAdministration.​category Base preferred Medication administration category codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
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.site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... partOf 0..* Reference(MedicationAdministration | Procedure)
... status 1..1 code
... medication[x] 1..1 CodeableConcept, Reference(Medication)
... effective[x] 1..1 Period Zeitpunkt oder Zeitraum
... dosage 1..1 BackboneElement Dosierung
.... dose 1..1 SimpleQuantity(4.0.1)

doco Documentation for this format

Snapshot ViewView

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MII_PR_Medikation_MedicationAdministration Administration of medication to a patient
... id SΣ 0..1 id Logical id of this artifact
... meta SΣ 0..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source SΣ 0..1 uri Identifies where the resource comes from
.... profile SΣ 0..* canonical(StructureDefinition) Profiles this resource claims to conform to
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.
Additional BindingsPurpose
AllLanguages Max Binding
... text 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
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier Identifikator
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf SΣ 0..* Reference(MedicationAdministration | Procedure)
... status ?!SΣ 1..1 code
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
... category S 0..1 CodeableConcept Kategorie
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
... Slices for medication[x] SΣ 1..1
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationReference SΣ 0..1 Reference(MII PR Medikation Medication) What was administered
.... medication[x]:medicationCodeableConcept SΣ 0..1 CodeableConcept What was administered
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
..... Slices for coding Content/Rules for all slices
...... coding:Pharmazentralnummer SΣ 0..* Coding PZN Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassDe SΣ 0..* Coding ATC Klassifikation deutsche Version
Binding: MII VS Medikation ATC (required)

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:atcClassEn SΣ 0..* Coding Anatomical Therapeutic Chemical Classification System

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://www.whocc.no/atc
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:UNII SΣ 0..* Coding Unique Ingredient Identifier

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://fdasis.nlm.nih.gov
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text SΣ 0..1 string Plain text representation of the concept
... subject SΣ 1..1 Reference(Patient) Person
... context S 0..1 Reference(Encounter | EpisodeOfCare) Kontext
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... Slices for effective[x] SΣ 1..1 Period Zeitpunkt oder Zeitraum
Slice: Unordered, Closed by type:$this
.... effective[x]:effectiveDateTime SΣ 0..1 dateTime Zeitpunkt
.... effective[x]:effectivePeriod SΣ 0..1 Period Zeitraum
... performer SΣ 0..* BackboneElement Ausführende*r
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
.... actor Σ 1..1 Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) Who performed the medication administration
... reasonCode S 0..* CodeableConcept Grund Code
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
... reasonReference S 0..* Reference(Condition | Observation | DiagnosticReport) Grund Referenz
... request S 0..1 Reference(MedicationRequest) Verordnung
... device 0..* Reference(Device) Device used to administer
... note S 0..* Annotation Hinweis
... dosage SC 1..1 BackboneElement Dosierung
Constraints: mad-1
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site S 0..1 CodeableConcept Applikationsort
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:SNOMED SΣ 0..* Coding SNOMED CT Code
Binding: Body Site - IPS (example): target site IPS

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... route S 0..1 CodeableConcept Verabreichungsweg
Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... Slices for coding SΣ 0..* Coding Code defined by a terminology system
Slice: Unordered, Open by pattern:$this
...... coding:EDQM SΣ 0..1 Coding EDQM Code
Binding: Medicine EDQM Route of Administration - IPS (preferred): EDQM Standard Terms

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://standardterms.edqm.eu
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
...... coding:SNOMED SΣ 0..1 Coding SNOMED CT Code

Required Pattern: At least the following
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... system SΣ 1..1 uri Identity of the terminology system
Fixed Value: http://snomed.info/sct
....... version Σ 0..1 string Version of the system - if relevant
....... code SΣ 1..1 code Symbol in syntax defined by the system
....... display Σ 0..1 string Representation defined by the system
....... userSelected Σ 0..1 boolean If this coding was chosen directly by the user
..... text Σ 0..1 string Plain text representation of the concept
.... method 0..1 CodeableConcept How drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.
.... dose S 1..1 SimpleQuantity(4.0.1)
..... id 0..1 string Unique id for inter-element referencing
..... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ 1..1 decimal Numerical value (with implicit precision)
..... unit SΣ 0..1 string Unit representation
..... system SΣC 1..1 uri System that defines coded unit form
..... code SΣ 1..1 code Coded form of the unit
.... Slices for rate[x] S 0..1 Dose quantity per unit of time
Slice: Unordered, Closed by type:$this
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
..... rate[x]:rateRatio S 0..1 Ratio Dose quantity per unit of time
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... numerator SΣ 0..1 Quantity Numerator value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
...... denominator SΣ 0..1 Quantity Denominator value
....... id 0..1 string Unique id for inter-element referencing
....... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
....... value SΣ 1..1 decimal Numerical value (with implicit precision)
....... comparator ?!Σ 0..1 code < | <= | >= | > - how to understand the value
Binding: QuantityComparator (required): How the Quantity should be understood and represented.
....... unit SΣ 0..1 string Unit representation
....... system SΣC 1..1 uri System that defines coded unit form
....... code SΣ 1..1 code Coded form of the unit
..... rate[x]:rateQuantity S 0..1 SimpleQuantity Dose quantity per unit of time
...... id 0..1 string Unique id for inter-element referencing
...... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
...... value SΣ 1..1 decimal Numerical value (with implicit precision)
...... unit SΣ 0..1 string Unit representation
...... system SΣC 1..1 uri System that defines coded unit form
...... code SΣ 1..1 code Coded form of the unit
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📍4.0.1 FHIR Std.
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 example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept Base example SNOMED CT Medication Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​medication[x]:medicationCodeableConcept.​coding:atcClassDe Base required MII VS Medikation ATC 📦2027.0.0-ballot MII IG Medikation v2027.0
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.site.coding:SNOMED Base example Body Site - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.route Base example SNOMED CT Route Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route.coding:EDQM Base preferred Medicine EDQM Route of Administration - IPS 📦2.0.1 International Patient Summary Implementation Guide v2.0
MedicationAdministration.​dosage.method Base example SNOMED CT Administration Method Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​numerator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.rate[x]:rateRatio.​denominator.comparator Base required QuantityComparator 📍4.0.1 FHIR Std.

Constraints

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

Mandatory: 2 elements

 

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