Usage Notes

Profile specific implementation guidance:

• When identifying a medication, this resource can use either a code or refer to a Medication resource.
• If making use of MedicationAdministration.code, this profile includes coding as:
  • PBS Item Code - Pharmaceutical Benefits Scheme coding, claiming context is not relevant as medicine coding
  • Medication Package Global Trade Item Number - Global Trade Item Number (GTIN) physical product reference
  • AMT Medicines - Australian Medicines Terminology, national drug terminology
  • MIMS Package - commonly used medicine coding
• If a medication is compounded and is a list of ingredients, MedicationAdministration.code is still present and may contain only the list of ingredients as text in MedicationAdministration.code.text.
• Where additional medicinal product information is needed, MedicationAdministration.medicationReference is preferred to MedicationAdministration.code and use of extensions, see guidance on AU Base Medication.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration	D	0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Medication
Slices for coding		0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference		0..1	Reference(Medication)	Medication Reference
dosage
site		0..1	CodeableConcept	Body site administered to Binding: Body Site (preferred)
route		0..1	CodeableConcept	Path of substance into body Binding: Route of Administration (preferred)
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
MedicationAdministration.dosage.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.route	preferred	RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for medication[x]	Σ	1..1		Medication Detail 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]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG

Constraints

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

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason		0..*	CodeableConcept	Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
Slices for medication[x]	Σ	1..1		Medication Detail 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]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication 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	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	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	Σ	0..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:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who performed the medication administration
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken 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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: Body Site (preferred)
route		0..1	CodeableConcept	Path of substance into body Binding: Route of Administration (preferred)
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred)
dose		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministration Status Codes 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	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.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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.dosage.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.route	preferred	RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.method	preferred	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()

Differential View

This structure is derived from MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration	D	0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
Slices for medication[x]		1..1	CodeableConcept, Reference(Medication)	Medication Detail Slice: Unordered, Closed by type:$this
medication[x]:medicationCodeableConcept		0..1	CodeableConcept	Coded Medication
Slices for coding		0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs		0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin		0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt		0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage		0..1	Coding	MIMS Package Binding: MIMS (preferred)
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference		0..1	Reference(Medication)	Medication Reference
dosage
site		0..1	CodeableConcept	Body site administered to Binding: Body Site (preferred)
route		0..1	CodeableConcept	Path of substance into body Binding: Route of Administration (preferred)
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred)
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
MedicationAdministration.dosage.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.route	preferred	RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.method	preferred	SNOMEDCTAdministrationMethodCodes

Key Elements View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for medication[x]	Σ	1..1		Medication Detail 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]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slices for coding	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
coding:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
coding:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
coding:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministration Status Codes http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 from the FHIR Standard
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG

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()

Snapshot View

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	A record of medication administered to a patient in an Australian healthcare context
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
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.
statusReason		0..*	CodeableConcept	Reason administration not performed Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
category		0..1	CodeableConcept	Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.
Slices for medication[x]	Σ	1..1		Medication Detail 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]:medicationCodeableConcept	Σ	0..1	CodeableConcept	Coded Medication 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	Σ	0..*	Coding	Medication Codes Slice: Unordered, Open by value:system
coding:pbs	Σ	0..*	Coding	PBS Item Code Binding: PBS Item Codes (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://pbs.gov.au/code/item
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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:gtin	Σ	0..*	Coding	Medication Package Global Trade Item Number (GTIN) Binding: GTIN (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.gs1.org/gtin
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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:amt	Σ	0..*	Coding	AMT Medicines Binding: Australian Medication (preferred)
id		0..1	string	Unique id for inter-element referencing
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
medicationClass		0..1	Coding	Medication type URL: http://hl7.org.au/fhir/StructureDefinition/medication-type Binding: Medication Type (required)
system	Σ	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	Σ	0..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:mimsPackage	Σ	0..1	Coding	MIMS Package Binding: MIMS (preferred)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
system	Σ	1..1	uri	Identity of the terminology system Fixed Value: http://www.mims.com.au/codes
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..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
medication[x]:medicationReference	Σ	0..1	Reference(Medication)	Medication Reference
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
effective[x]	Σ	1..1		Start and end time of administration
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Who performed the medication administration and what they did
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
function		0..1	CodeableConcept	Type of performance Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who performed the medication administration
reasonCode		0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation | DiagnosticReport)	Condition or observation that supports why the medication was administered
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note		0..*	Annotation	Information about the administration
dosage	C	0..1	BackboneElement	Details of how medication was taken 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		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: Body Site (preferred)
route		0..1	CodeableConcept	Path of substance into body Binding: Route of Administration (preferred)
method		0..1	CodeableConcept	How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (preferred)
dose		0..1	SimpleQuantity	Amount of medication per dose
rate[x]		0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding http://hl7.org/fhir/ValueSet/languages from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministration Status Codes 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	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.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes http://hl7.org/fhir/ValueSet/medication-codes from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:pbs	preferred	PBSItemCodes (a valid code from PBS Item Codes) http://terminology.hl7.org.au/ValueSet/pbs-item from this IG
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:gtin	preferred	GTIN http://terminology.hl7.org/ValueSet/v3-GTIN
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:amt	preferred	AustralianMedication https://healthterminologies.gov.au/fhir/ValueSet/australian-medication-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:mimsPackage	preferred	MIMS (a valid code from Monthly Index of Medical Specialties (MIMS)) http://terminology.hl7.org.au/ValueSet/mims from this IG
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.dosage.site	preferred	BodySite https://healthterminologies.gov.au/fhir/ValueSet/body-site-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.route	preferred	RouteOfAdministration https://healthterminologies.gov.au/fhir/ValueSet/route-of-administration-1 from https://tx.ontoserver.csiro.au/fhir
MedicationAdministration.dosage.method	preferred	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()

This structure is derived from MedicationAdministration

Summary

Mandatory: 0 element(4 nested mandatory elements)
Fixed: 4 elements

Extensions

This structure refers to these extensions:

• http://hl7.org.au/fhir/StructureDefinition/medication-type

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationAdministration.medication[x] (Closed)
• The element 1 is sliced based on the value of MedicationAdministration.medication[x].coding

Maturity: 2