Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatusCodes (required): A set of codes indicating the current status of a MedicationAdministration. ele-1: All FHIR elements must have a @value or children
medication	SΣ	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required) ele-1: All FHIR elements must have a @value or children
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) ele-1: All FHIR elements must have a @value or children
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id ele-1: All FHIR elements must have a @value or children
note:comments		0..1	Annotation	Comment relating to the administration of the administered component ele-1: All FHIR elements must have a @value or children
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
note:wording		0..1	Annotation	Name of administered component ele-1: All FHIR elements must have a @value or children
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosage	SC	1..1	BackboneElement	Details of how medication was taken ele-1: All FHIR elements must have a @value or children mad-1: If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dose	C	1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient ele-1: All FHIR elements must have a @value or children
Slices for rate[x]	C	1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
rate[x]:rateQuantity	SC	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministrationStatusCodes http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0 from the FHIR Standard
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x] : (dose.exists() or rate.exists() or text.exists())

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required)
partOf	S	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component
medication	S	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required)
concept		0..1	CodeableConcept	Reference to a concept (by class) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:comments		0..1	Annotation	Comment relating to the administration of the administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
note:wording		0..1	Annotation	Name of administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
dosage	S	1..1	BackboneElement	Details of how medication was taken
dose		1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient
Slices for rate[x]		1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateQuantity	S	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan this is fulfilled by this administration
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatusCodes (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..*	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
medication	SΣ	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
encounter		0..1	Reference(Encounter)	Encounter administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place)
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
recorded	Σ	0..1	dateTime	When the MedicationAdministration was first captured in the subject's record
isSubPotent		0..1	boolean	Full dose was not administered
subPotentReason		0..*	CodeableConcept	Reason full dose was not administered Binding: MedicationAdministrationSubpotentReason (example)
performer	Σ	0..*	BackboneElement	Who or what performed the medication administration and what type of performance 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: MedicationAdministrationPerformerFunctionCodes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	CodeableReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who or what performed the medication administration
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Concept, condition or observation that supports why the medication was administered Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	CodeableReference(Device)	Device used to administer
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:comments		0..1	Annotation	Comment relating to the administration of the administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
note:wording		0..1	Annotation	Name of administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage	SC	1..1	BackboneElement	Details of how medication was taken mad-1: If dosage attribute is present then SHALL have at least one of dosage.text or 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	C	0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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	1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient
Slices for rate[x]	C	1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rate[x]:rateQuantity	SC	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered
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	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministrationStatusCodes http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset from this IG
MedicationAdministration.subPotentReason	example	MedicationAdministrationSubpotentReason http://hl7.org/fhir/ValueSet/administration-subpotent-reason from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministrationPerformerFunctionCodes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reason	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x] : (dose.exists() or rate.exists() or text.exists())

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• OncoFAIR MedicationAdministration Element (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medicationadministration-element)
• OncoFAIR Medication (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medication)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationAdministration.note
• The element 1 is sliced based on the value of MedicationAdministration.dosage.rate[x]

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient dom-2: If the resource is contained in another resource, it SHALL NOT contain nested Resources dom-3: If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource dom-4: If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated dom-5: If a resource is contained in another resource, it SHALL NOT have a security label dom-6: A resource should have narrative for robust management
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created ele-1: All FHIR elements must have a @value or children
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component ele-1: All FHIR elements must have a @value or children
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatusCodes (required): A set of codes indicating the current status of a MedicationAdministration. ele-1: All FHIR elements must have a @value or children
medication	SΣ	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required) ele-1: All FHIR elements must have a @value or children
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class) ele-1: All FHIR elements must have a @value or children Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) ele-1: All FHIR elements must have a @value or children
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id ele-1: All FHIR elements must have a @value or children
note:comments		0..1	Annotation	Comment relating to the administration of the administered component ele-1: All FHIR elements must have a @value or children
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
note:wording		0..1	Annotation	Name of administered component ele-1: All FHIR elements must have a @value or children
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
text	Σ	1..1	markdown	The annotation - text content (as markdown) ele-1: All FHIR elements must have a @value or children
dosage	SC	1..1	BackboneElement	Details of how medication was taken ele-1: All FHIR elements must have a @value or children mad-1: If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x]
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored even if unrecognized ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
dose	C	1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient ele-1: All FHIR elements must have a @value or children
Slices for rate[x]	C	1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Closed by type:$this ele-1: All FHIR elements must have a @value or children
rate[x]:rateQuantity	SC	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered ele-1: All FHIR elements must have a @value or children
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministrationStatusCodes http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0 from the FHIR Standard
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset 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().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x] : (dose.exists() or rate.exists() or text.exists())

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required)
partOf	S	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component
medication	S	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required)
concept		0..1	CodeableConcept	Reference to a concept (by class) Required Pattern: At least the following
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:comments		0..1	Annotation	Comment relating to the administration of the administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
note:wording		0..1	Annotation	Name of administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
dosage	S	1..1	BackboneElement	Details of how medication was taken
dose		1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient
Slices for rate[x]		1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Open by type:$this
rate[x]:rateQuantity	S	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered
Documentation for this format

Terminology Bindings (Differential)

Path	Conformance	ValueSet	URI
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset from this IG

Name	Flags	Card.	Type	Description & Constraints
MedicationAdministration		0..*	MedicationAdministration	Administration of medication to a patient
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: AllLanguages (required): IETF language tag for a human language Additional Bindings Purpose CommonLanguages Starter
text		0..1	Narrative	Text summary of the resource, for human interpretation
contained		0..*	Resource	Contained, inline Resources
Slices for extension		1..*	Extension	Extension Slice: Unordered, Open by value:url
extension:oncofair-ma-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-element-expirationdate		0..1	dateTime	Expiry date of administered component URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
extension:oncofair-ma-component-origin		0..1	CodeableConcept	Specifies the origin of the component administered URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
extension:oncofair-ma-component-administration-status		1..1	CodeableConcept	Specifies whether the component administered was actually administered to the patient or not. URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status Binding: Statut composant administré Value Set (required)
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
basedOn		0..*	Reference(CarePlan)	Plan this is fulfilled by this administration
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Element)	The element of administration part of the administered component
status	?!Σ	1..1	code	in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministrationStatusCodes (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..*	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
medication	SΣ	1..1	CodeableReference(OncoFAIR Medication)	The medication linked to the administered component Binding: Concepts Medication Value Set (required)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
concept	Σ	0..1	CodeableConcept	Reference to a concept (by class) Required Pattern: At least the following
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
coding		1..*	Coding	Code defined by a terminology system Fixed Value: (complex)
id		0..1	string	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations
system		0..1	uri	Identity of the terminology system
version		0..1	string	Version of the system - if relevant
code		1..1	code	Symbol in syntax defined by the system Fixed Value: component
display		0..1	string	Representation defined by the system
userSelected		0..1	boolean	If this coding was chosen directly by the user
text		0..1	string	Plain text representation of the concept
reference	Σ	0..1	Reference()	Reference to a resource (by instance)
subject	Σ	1..1	Reference(Patient | Group)	Who received medication
encounter		0..1	Reference(Encounter)	Encounter administered as part of
supportingInformation		0..*	Reference(Resource)	Additional information to support administration
occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place)
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
recorded	Σ	0..1	dateTime	When the MedicationAdministration was first captured in the subject's record
isSubPotent		0..1	boolean	Full dose was not administered
subPotentReason		0..*	CodeableConcept	Reason full dose was not administered Binding: MedicationAdministrationSubpotentReason (example)
performer	Σ	0..*	BackboneElement	Who or what performed the medication administration and what type of performance 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: MedicationAdministrationPerformerFunctionCodes (example): A code describing the role an individual played in administering the medication.
actor	Σ	1..1	CodeableReference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)	Who or what performed the medication administration
reason		0..*	CodeableReference(Condition | Observation | DiagnosticReport)	Concept, condition or observation that supports why the medication was administered Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.
request		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	CodeableReference(Device)	Device used to administer
Slices for note	S	0..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:comments		0..1	Annotation	Comment relating to the administration of the administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
note:wording		0..1	Annotation	Name of administered component
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Organization)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text	Σ	1..1	markdown	The annotation - text content (as markdown)
dosage	SC	1..1	BackboneElement	Details of how medication was taken mad-1: If dosage attribute is present then SHALL have at least one of dosage.text or 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	C	0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMEDCTAnatomicalStructureAdministrationSites (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	1..1	SimpleQuantity	Quantity of the component administered in the administration element that was intended to be administered to the patient
Slices for rate[x]	C	1..1	SimpleQuantity	Dose quantity per unit of time Slice: Unordered, Closed by type:$this
rate[x]:rateQuantity	SC	1..1	SimpleQuantity	Quantity actually administered to the patient or planned to be administered
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	required	AllLanguages http://hl7.org/fhir/ValueSet/all-languages|5.0.0 from the FHIR Standard
MedicationAdministration.status	required	MedicationAdministrationStatusCodes http://hl7.org/fhir/ValueSet/medication-admin-status|5.0.0 from the FHIR Standard
MedicationAdministration.statusReason	example	SNOMEDCTReasonMedicationNotGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes from the FHIR Standard
MedicationAdministration.category	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.medication	required	ConceptMedicationOncoFAIRValueSet (a valid code from Concepts Medication Code System) http://ltsi.univ-rennes.fr/ValueSet/concept-medication-oncofair-valueset from this IG
MedicationAdministration.subPotentReason	example	MedicationAdministrationSubpotentReason http://hl7.org/fhir/ValueSet/administration-subpotent-reason from the FHIR Standard
MedicationAdministration.performer.function	example	MedicationAdministrationPerformerFunctionCodes http://hl7.org/fhir/ValueSet/med-admin-perform-function from the FHIR Standard
MedicationAdministration.reason	example	ReasonMedicationGivenCodes http://hl7.org/fhir/ValueSet/reason-medication-given-codes from the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMEDCTAnatomicalStructureAdministrationSites http://hl7.org/fhir/ValueSet/approach-site-codes from the FHIR Standard
MedicationAdministration.dosage.route	example	SNOMEDCTRouteCodes http://hl7.org/fhir/ValueSet/route-codes from the FHIR Standard
MedicationAdministration.dosage.method	example	SNOMEDCTAdministrationMethodCodes http://hl7.org/fhir/ValueSet/administration-method-codes from the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource : contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().ofType(canonical) | %resource.descendants().ofType(uri) | %resource.descendants().ofType(url))) or descendants().where(reference = '#').exists() or descendants().where(ofType(canonical) = '#').exists() or descendants().where(ofType(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	If dosage attribute is present then SHALL have at least one of dosage.text or dosage.dose or dosage.rate[x] : (dose.exists() or rate.exists() or text.exists())

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 5 elements

Structures

This structure refers to these other structures:

• OncoFAIR MedicationAdministration Element (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medicationadministration-element)
• OncoFAIR Medication (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medication)
• SimpleQuantity (http://hl7.org/fhir/StructureDefinition/SimpleQuantity)

Extensions

This structure refers to these extensions:

• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-origin
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-component-administration-status

Slices

This structure defines the following Slices:

• The element 1 is sliced based on the value of MedicationAdministration.note
• The element 1 is sliced based on the value of MedicationAdministration.dosage.rate[x]