NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide
1.0.0 - Release
NP Core Implementation Guide - Local Development build (v1.0.0) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions
| Official URL: http://fhir.digitalhealth.gov.np/core/StructureDefinition/np-core-medicationadministration | Version: 1.0.0 | ||||
| Active as of 2026-10-14 | Computable Name: NPCoreMedicationAdministration | ||||
Sets minimum expectations for representing the administration of a medication dose to a patient in Nepal.
Usages:
You can also check for usages in the FHIR IG Statistics
Description Differentials, Snapshots, and other representations.
| Name | Flags | Card. | Type | Description & Constraints Filter:  | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
  MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
  implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
   medicationCodeableConcept |
CodeableConcept | |||||||||||
 medicationReference |
Reference(Medication) | |||||||||||
 medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What was administered | |||||||||
 medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What was administered Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who received medication
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
 effective[x] |
1..1 | Start and end time of administration
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
 effectivePeriod |
Period | |||||||||||
| performer |
0..* | BackboneElement | Who performed the medication administration and what they did
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Patient | NP Core Device | NP Core RelatedPerson) | Who performed the medication administration | |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Laboratory Report | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(NP Core MedicationRequest) | Request administration performed against | |||||||||
 dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
| ||||||||
 modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status 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 | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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()
|
This structure is derived from MedicationAdministration
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
 status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Identifier | External identifier | |||||||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||||||
| partOf |
0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | |||||||||
| status |
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] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What was administered | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What was administered Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who received medication
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||||||
| effective[x] |
1..1 | Start and end time of administration
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
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 |
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 |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Patient | NP Core Device | NP Core RelatedPerson) | 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(NP Core Condition | NP Core Observation | NP Core Laboratory Report | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(NP Core 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 Constraints: mad-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||
| route |
0..1 | CodeableConcept | 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. | |||||||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||||||
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 | ||||||||
| 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | 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 | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
|
| dom-3 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource |
contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
|
| dom-4 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated |
contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
|
| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
|
| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
|
| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
|
| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
|
| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
|
| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
This structure is derived from MedicationAdministration
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| implicitRules |
0..1 | uri | A set of rules under which this content was created | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored | |||||||||
| status |
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] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What was administered | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What was administered Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who received medication
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| effective[x] |
1..1 | Start and end time of administration
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
0..* | BackboneElement | Who performed the medication administration and what they did
| |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Patient | NP Core Device | NP Core RelatedPerson) | Who performed the medication administration | |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Laboratory Report | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(NP Core MedicationRequest) | Request administration performed against | |||||||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken Constraints: mad-1
| ||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.status | Base | required | Medication administration status 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 | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| 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
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| status |
1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
| |||||||||
| Slices for medication[x] |
1..1 | CodeableConcept, Reference(Medication) | What was administered Slice: Unordered, Open by type:$this
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | |||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What was administered | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What was administered Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who received medication
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| effective[x] |
1..1 | dateTime, Period | Start and end time of administration
| |||||||||
| performer |
0..* | BackboneElement | Who performed the medication administration and what they did
| |||||||||
| actor |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Patient | NP Core Device | NP Core RelatedPerson) | Who performed the medication administration | |||||||||
| reasonReference |
0..* | Reference(NP Core Condition | NP Core Observation | NP Core Laboratory Report | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(NP Core MedicationRequest) | Request administration performed against | |||||||||
| dosage |
0..1 | BackboneElement | Details of how medication was taken
| |||||||||
| Documentation for this format | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
|||
| status |
|
|
|
| Slices for medication[x] |
|
|
|
| subject |
|
|
|
| effective[x] |
|
|
|
| performer |
|
|
|
| dosage |
|
|
|
| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.medication[x]:medicationCodeableConcept | Base | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
Snapshot ViewView
| Name | Flags | Card. | Type | Description & Constraints Filter: | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
0..* | MedicationAdministration | Administration of medication to a patient | |||||||||
| id |
0..1 | id | Logical id of this artifact | |||||||||
| meta |
0..1 | Meta | Metadata about the resource | |||||||||
| implicitRules |
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.
| |||||||||
| 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 |
0..* | Identifier | External identifier | |||||||||
| instantiates |
0..* | uri | Instantiates protocol or definition | |||||||||
| partOf |
0..* | Reference(MedicationAdministration | Procedure) | Part of referenced event | |||||||||
| status |
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] |
1..1 | What was administered Slice: Unordered, Closed by type:$this Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.
Slicing Note: The rules on this element (including its children) apply to all the slices, but are not repeated in them | ||||||||||
| medicationCodeableConcept |
CodeableConcept | |||||||||||
| medicationReference |
Reference(Medication) | |||||||||||
| medication[x]:medicationReference |
0..1 | Reference(NP Core Medication) | What was administered | |||||||||
| medication[x]:medicationCodeableConcept |
0..1 | CodeableConcept | What was administered Binding: Nepal Drug Value Set (preferred) | |||||||||
| subject |
1..1 | Reference(NP Core Patient | Group) | Who received medication
| |||||||||
| context |
0..1 | Reference(NP Core Encounter | EpisodeOfCare) | Encounter or Episode of Care administered as part of | |||||||||
| supportingInformation |
0..* | Reference(Resource) | Additional information to support administration | |||||||||
| effective[x] |
1..1 | Start and end time of administration
| ||||||||||
| effectiveDateTime |
dateTime | |||||||||||
| effectivePeriod |
Period | |||||||||||
| performer |
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 |
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 |
1..1 | Reference(NP Core Practitioner | NP Core PractitionerRole | NP Core Patient | NP Core Device | NP Core RelatedPerson) | 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(NP Core Condition | NP Core Observation | NP Core Laboratory Report | DiagnosticReport) | Condition or observation that supports why the medication was administered | |||||||||
| request |
0..1 | Reference(NP Core 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 Constraints: mad-1
| ||||||||
| id |
0..1 | string | Unique id for inter-element referencing | |||||||||
| extension |
0..* | Extension | Additional content defined by implementations | |||||||||
| modifierExtension |
0..* | Extension | Extensions that cannot be ignored even if unrecognized | |||||||||
| text |
0..1 | string | Free text dosage instructions e.g. SIG | |||||||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||||||
| route |
0..1 | CodeableConcept | 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. | |||||||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||||||
| dose |
C | 0..1 | SimpleQuantity(4.0.1) | Amount of medication per dose Constraints: sqty-1 | ||||||||
| 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 | ||||||||||||
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
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| status |
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| Slices for medication[x] |
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| subject |
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| effective[x] |
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| performer |
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| dosage |
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| Documentation for this format | |||
| Path | Status | Usage | ValueSet | Version | Source |
| MedicationAdministration.language | Base | preferred | Common Languages | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.status | Base | required | 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 | preferred | Nepal Drug Value Set | 📦1.0.0 | This IG |
| MedicationAdministration.performer.function | Base | example | Medication administration performer function codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.reasonCode | Base | example | Reason Medication Given Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.site | Base | example | SNOMED CT Anatomical Structure for Administration Site Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.route | Base | example | SNOMED CT Route Codes | 📍4.0.1 | FHIR Std. |
| MedicationAdministration.dosage.method | Base | example | SNOMED CT Administration Method Codes | 📍4.0.1 | FHIR Std. |
| Id | Grade | Path(s) | Description | Expression |
| dom-2 | error | MedicationAdministration | If the resource is contained in another resource, it SHALL NOT contain nested Resources |
contained.contained.empty()
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| 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()
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| dom-5 | error | MedicationAdministration | If a resource is contained in another resource, it SHALL NOT have a security label |
contained.meta.security.empty()
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| dom-6 | best practice | MedicationAdministration | A resource should have narrative for robust management |
text.`div`.exists()
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| ele-1 | error | **ALL** elements | All FHIR elements must have a @value or children |
hasValue() or (children().count() > id.count())
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| ext-1 | error | **ALL** extensions | Must have either extensions or value[x], not both |
extension.exists() != value.exists()
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| mad-1 | error | MedicationAdministration.dosage | SHALL have at least one of dosage.dose or dosage.rate[x] |
dose.exists() or rate.exists()
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| sqty-1 | error | MedicationAdministration.dosage.dose | The comparator is not used on a SimpleQuantity |
comparator.empty()
|
| Name | NP Core Server | NP Core Consumer | NP Core Creator |
|---|---|---|---|
| MedicationAdministration |
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| status |
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| Slices for medication[x] |
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| subject |
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| effective[x] |
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| performer |
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| dosage |
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| Documentation for this format | |||
This structure is derived from MedicationAdministration
Summary
Must-Support: 8 elements
Structures
This structure refers to these other structures:
Slices
This structure defines the following Slices:
Other representations of profile: CSV, Excel, Schematron