Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
identifier	S	0..*	Identifier	External identifier
partOf	S	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	S	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
category	S	0..1	CodeableConcept	Type of medication usage
Slices for medication[x]	S	1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference	S	0..1	Reference(Medication)	What was administered
medication[x]:medicationCodeableConcept	S	0..1	CodeableConcept	What was administered
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	S	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:atcClassDe	S	0..*	Coding	ATC Klassifikation deutsche Version Binding: ATC (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:atcClassEn	S	0..*	Coding	Anatomical Therapeutic Chemical Classification System Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
subject	S	1..1	Reference(Patient | Group)	Who received medication
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Profile Tumor)	Additional information to support administration
Slices for effective[x]	S	1..1	dateTime, Period	Start and end time of administration Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Start and end time of administration
effective[x]:effectivePeriod	S	0..1	Period	Start and end time of administration
performer	S	0..*	BackboneElement	Who performed the medication administration and what they did
reasonCode	S	0..*	CodeableConcept	Reason administration performed
reasonReference	S	0..*	Reference(Profile Tumor Disorder)	Condition or observation that supports why the medication was administered
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
note	S	0..*	Annotation	Information about the administration
dosage	S	0..1	BackboneElement	Details of how medication was taken
text	S	0..1	string	Free text dosage instructions e.g. SIG
site	S	0..1	CodeableConcept	Body site administered to
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
route	S	0..1	CodeableConcept	Path of substance into body
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms
coding:EDQM	S	0..1	Coding	Code defined by a terminology system Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
dose	S	0..1	SimpleQuantity	Amount of medication per dose Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
Slices for rate[x]	S	0..1	Ratio, SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Dose quantity per unit of time
numerator	S	0..1	Quantity	Numerator value Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	0..1	Quantity	Denominator value Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
rate[x]:rateQuantity	S	0..1	SimpleQuantity	A fixed quantity (no comparator) Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe	required	Pattern: null
MedicationAdministration.dosage.site.coding:SNOMED	example	Pattern: SNOMED CT code null
MedicationAdministration.dosage.route.coding	preferred	RouteOfAdminUvIps
MedicationAdministration.dosage.route.coding:EDQM	preferred	Pattern: null

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	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
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier	S	0..*	Identifier	External identifier
partOf	SΣ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!SΣ	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.
category	S	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]	SΣ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	What was administered
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣ	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:atcClassDe	SΣ	0..*	Coding	ATC Klassifikation deutsche Version Binding: ATC (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
system	SΣ	1..1	uri	Identity of the terminology system
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		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
system	SΣ	1..1	uri	Identity of the terminology system
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 | Group)	Who received medication
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Profile Tumor)	Additional information to support administration
Slices for effective[x]	SΣ	1..1		Start and end time of administration Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Start and end time of administration
effective[x]:effectivePeriod	SΣ	0..1	Period	Start and end time of administration
performer	SΣ	0..*	BackboneElement	Who performed the medication administration and what they did
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
actor	Σ	1..1	Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who performed the medication administration
reasonCode	S	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference	S	0..*	Reference(Profile Tumor Disorder)	Condition or observation that supports why the medication was administered
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
note	S	0..*	Annotation	Information about the administration
dosage	SC	0..1	BackboneElement	Details of how medication was taken
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	S	0..1	string	Free text dosage instructions e.g. SIG
site	S	0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	SΣ	0..*	Coding	Code defined by a terminology system Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
route	S	0..1	CodeableConcept	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms
coding:EDQM	SΣ	0..1	Coding	Code defined by a terminology system Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	SΣ	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	SΣ	1..1	uri	Identity of the terminology system
code	SΣ	1..1	code	Symbol in syntax defined by the system
dose	S	0..1	SimpleQuantity	Amount of medication per dose Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	SΣ	1..1	decimal	Numerical value (with implicit precision)
unit	SΣ	0..1	string	Unit representation
system	SΣC	1..1	uri	System that defines coded unit form
code	SΣ	1..1	code	Coded form of the unit
Slices for rate[x]	S	0..1		Dose quantity per unit of time Slice: Unordered, Closed by type:$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 Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
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 Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
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	SC	0..1	SimpleQuantity	A fixed quantity (no comparator) Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.status	required	MedicationAdministration Status Codes
MedicationAdministration.category	preferred	MedicationAdministration Category Codes
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe	required	Pattern: null
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.site.coding:SNOMED	example	Pattern: SNOMED CT code null
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes
MedicationAdministration.dosage.route.coding	preferred	RouteOfAdminUvIps
MedicationAdministration.dosage.route.coding:EDQM	preferred	Pattern: null
MedicationAdministration.dosage.rate[x]:rateRatio.numerator.comparator	required	QuantityComparator
MedicationAdministration.dosage.rate[x]:rateRatio.denominator.comparator	required	QuantityComparator

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()
qty-3	error	MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	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 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	S	0..*	Identifier	External identifier
instantiates	Σ	0..*	uri	Instantiates protocol or definition
partOf	SΣ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!SΣ	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	S	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]	SΣ	1..1		What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
medicationCodeableConcept			CodeableConcept
medicationReference			Reference(Medication)
medication[x]:medicationReference	SΣ	0..1	Reference(Medication)	What was administered
medication[x]:medicationCodeableConcept	SΣ	0..1	CodeableConcept	What was administered Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	SΣ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	SΣ	0..*	Coding	Code defined by a terminology 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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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: 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
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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 | Group)	Who received medication
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Profile Tumor)	Additional information to support administration
Slices for effective[x]	SΣ	1..1		Start and end time of administration Slice: Unordered, Closed by type:$this
effectiveDateTime			dateTime
effectivePeriod			Period
effective[x]:effectiveDateTime	SΣ	0..1	dateTime	Start and end time of administration
effective[x]:effectivePeriod	SΣ	0..1	Period	Start and end time of administration
performer	SΣ	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	S	0..*	CodeableConcept	Reason administration performed Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference	S	0..*	Reference(Profile Tumor Disorder)	Condition or observation that supports why the medication was administered
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
note	S	0..*	Annotation	Information about the administration
dosage	SC	0..1	BackboneElement	Details of how medication was taken
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized
text	S	0..1	string	Free text dosage instructions e.g. SIG
site	S	0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.
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	Code defined by a terminology system Binding: Target 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
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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	Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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 Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms
coding:EDQM	SΣ	0..1	Coding	Code defined by a terminology system Binding: Medicine 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
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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	Code defined by a terminology 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
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version		0..1	string	Version of the system - if relevant
code		0..1	code	Symbol in syntax defined by the system
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
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
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	0..1	SimpleQuantity	Amount of medication per dose Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
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 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
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 Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
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	SC	0..1	SimpleQuantity	A fixed quantity (no comparator) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
value		0..1	decimal	Numerical value (with implicit precision)
comparator		0..1	code	< | <= | >= | > - how to understand the value
unit		0..1	string	Unit representation
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
code		0..1	code	Coded form of the unit
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
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet / Code
MedicationAdministration.meta.security	extensible	All Security Labels
MedicationAdministration.meta.tag	example	CommonTags
MedicationAdministration.language	preferred	CommonLanguages Additional Bindings Purpose AllLanguages Max Binding
MedicationAdministration.status	required	MedicationAdministration Status Codes
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes
MedicationAdministration.category	preferred	MedicationAdministration Category Codes
MedicationAdministration.medication[x]	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept	example	SNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe	required	Pattern: null
MedicationAdministration.performer.function	example	MedicationAdministration Performer Function Codes
MedicationAdministration.reasonCode	example	ReasonMedicationGivenCodes
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.site.coding:SNOMED	example	Pattern: SNOMED CT code null
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes
MedicationAdministration.dosage.route.coding	preferred	RouteOfAdminUvIps
MedicationAdministration.dosage.route.coding:EDQM	preferred	Pattern: null
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes
MedicationAdministration.dosage.rate[x]:rateRatio.numerator.comparator	required	QuantityComparator
MedicationAdministration.dosage.rate[x]:rateRatio.denominator.comparator	required	QuantityComparator

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()
qty-3	error	MedicationAdministration.dosage.rate[x]:rateQuantity	If a code for the unit is present, the system SHALL also be present : code.empty() or system.exists()
sqty-1	error	MedicationAdministration.dosage.rate[x]:rateQuantity	The comparator is not used on a SimpleQuantity : comparator.empty()

Summary

Mandatory: 0 element (24 nested mandatory elements)
Must-Support: 69 elements

Structures

This structure refers to these other structures:

• Profile Tumor (https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor)
• Profile Tumor Disorder (https://www.vision-zero-oncology.de/fhir/StructureDefinition/tumor-disorder)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Slices

This structure defines the following Slices:

• The element MedicationAdministration.medication[x] is sliced based on the value of type:$this
• The element MedicationAdministration.medication[x].coding is sliced based on the value of pattern:$this
• The element MedicationAdministration.effective[x] is sliced based on the value of type:$this
• The element MedicationAdministration.dosage.site.coding is sliced based on the value of pattern:$this
• The element MedicationAdministration.dosage.route.coding is sliced based on the value of pattern:$this
• The element MedicationAdministration.dosage.rate[x] is sliced based on the value of type:$this

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
id	S	0..1	id	Logical id of this artifact
meta	S	0..1	Meta	Metadata about the resource
source	S	0..1	uri	Identifies where the resource comes from
profile	S	0..*	canonical(StructureDefinition)	Profiles this resource claims to conform to
identifier	S	0..*	Identifier	External identifier
partOf	S	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	S	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
category	S	0..1	CodeableConcept	Type of medication usage
Slices for medication[x]	S	1..1	CodeableConcept, Reference(Medication)	What was administered Slice: Unordered, Open by type:$this
medication[x]:medicationReference	S	0..1	Reference(Medication)	What was administered
medication[x]:medicationCodeableConcept	S	0..1	CodeableConcept	What was administered
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:Pharmazentralnummer	S	0..*	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/ifa/pzn
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:atcClassDe	S	0..*	Coding	ATC Klassifikation deutsche Version Binding: ATC (required) Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://fhir.de/CodeSystem/bfarm/atc
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:atcClassEn	S	0..*	Coding	Anatomical Therapeutic Chemical Classification System Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://www.whocc.no/atc
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
text	S	0..1	string	Plain text representation of the concept
subject	S	1..1	Reference(Patient | Group)	Who received medication
context	S	0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Profile Tumor)	Additional information to support administration
Slices for effective[x]	S	1..1	dateTime, Period	Start and end time of administration Slice: Unordered, Open by type:$this
effective[x]:effectiveDateTime	S	0..1	dateTime	Start and end time of administration
effective[x]:effectivePeriod	S	0..1	Period	Start and end time of administration
performer	S	0..*	BackboneElement	Who performed the medication administration and what they did
reasonCode	S	0..*	CodeableConcept	Reason administration performed
reasonReference	S	0..*	Reference(Profile Tumor Disorder)	Condition or observation that supports why the medication was administered
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
note	S	0..*	Annotation	Information about the administration
dosage	S	0..1	BackboneElement	Details of how medication was taken
text	S	0..1	string	Free text dosage instructions e.g. SIG
site	S	0..1	CodeableConcept	Body site administered to
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this
coding:SNOMED	S	0..*	Coding	Code defined by a terminology system Binding: Target Site - IPS (example): target site IPS Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
route	S	0..1	CodeableConcept	Path of substance into body
Slices for coding	S	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by pattern:$this Binding: Medicine Route of Administration - IPS (preferred): EDQM Standards Terms
coding:EDQM	S	0..1	Coding	Code defined by a terminology system Binding: Medicine Route of Administration - IPS (preferred): EDQM Standard Terms Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://standardterms.edqm.eu
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
coding:SNOMED	S	0..1	Coding	Code defined by a terminology system Required Pattern: At least the following
system		1..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
system	S	1..1	uri	Identity of the terminology system
code	S	1..1	code	Symbol in syntax defined by the system
dose	S	0..1	SimpleQuantity	Amount of medication per dose Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
Slices for rate[x]	S	0..1	Ratio, SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateRatio	S	0..1	Ratio	Dose quantity per unit of time
numerator	S	0..1	Quantity	Numerator value Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
denominator	S	0..1	Quantity	Denominator value Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
rate[x]:rateQuantity	S	0..1	SimpleQuantity	A fixed quantity (no comparator) Required Pattern: At least the following
system		1..1	uri	System that defines coded unit form Fixed Value: http://unitsofmeasure.org
value	S	1..1	decimal	Numerical value (with implicit precision)
unit	S	0..1	string	Unit representation
system	S	1..1	uri	System that defines coded unit form
code	S	1..1	code	Coded form of the unit
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet / Code
MedicationAdministration.medication[x]:medicationCodeableConcept.coding:atcClassDe	required	Pattern: null
MedicationAdministration.dosage.site.coding:SNOMED	example	Pattern: SNOMED CT code null
MedicationAdministration.dosage.route.coding	preferred	RouteOfAdminUvIps
MedicationAdministration.dosage.route.coding:EDQM	preferred	Pattern: null