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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent 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-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-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form 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
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS. ele-1: All FHIR elements must have a @value or children
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration 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
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
category:code		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
category:nature		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(Medication)	What was administered 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: element
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
Slices for occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
occurence[x]:occurencePeriod	SΣ	0..1	Period	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
start	ΣC	1..1	dateTime	Effective date and time for startinf administration of the administration element ele-1: All FHIR elements must have a @value or children
end	ΣC	0..1	dateTime	Effective date and time for ending administration of the administration element ele-1: All FHIR elements must have a @value or children
request	S	0..1	Reference(MedicationRequest)	Request administration performed against ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	0..1	Identifier	Unique identifier of the prescription element to which this administration element responds ele-1: All FHIR elements must have a @value or children
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element ele-1: All FHIR elements must have a @value or children
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id ele-1: All FHIR elements must have a @value or children
note:wording		1..1	Annotation	Wording of the administration element 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
note:comments		0..1	Annotation	Comment attached to the administration element 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
dosage	SC	0..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
site		0..1	CodeableConcept	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element. 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. ele-1: All FHIR elements must have a @value or children
method		0..1	CodeableConcept	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required) 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.category	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:code	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:nature	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.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	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
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-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS.
partOf	S	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system
category:code		0..1	CodeableConcept	Type of medication administration
category:nature		0..1	CodeableConcept	Type of medication administration
medication		1..1	CodeableReference(Medication)	What was administered 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: element
Slices for occurence[x]		1..1	dateTime, Period, Timing	Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this
occurence[x]:occurencePeriod	S	0..1	Period	Specific date/time or interval of time during which the administration took place (or did not take place)
start		1..1	dateTime	Effective date and time for startinf administration of the administration element
end		0..1	dateTime	Effective date and time for ending administration of the administration element
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
identifier		0..1	Identifier	Unique identifier of the prescription element to which this administration element responds
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:wording		1..1	Annotation	Wording of the administration element
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
note:comments		0..1	Annotation	Comment attached to the administration element
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
dosage	S	0..1	BackboneElement	Details of how medication was taken
site		0..1	CodeableConcept	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element.
method		0..1	CodeableConcept	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required)
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
MedicationAdministration.dosage.method	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
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-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS.
basedOn		0..*	Reference(CarePlan)	Plan this is fulfilled by this administration
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration
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.
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
category:code		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
category:nature		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
medication	Σ	1..1	CodeableReference(Medication)	What was administered 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: element
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
Slices for occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
occurence[x]:occurencePeriod	SΣ	0..1	Period	Specific date/time or interval of time during which the administration took place (or did not take place)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Effective date and time for startinf administration of the administration element
end	ΣC	0..1	dateTime	Effective date and time for ending administration of the administration element
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	S	0..1	Reference(MedicationRequest)	Request administration performed against
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Unique identifier of the prescription element to which this administration element responds
display	ΣC	0..1	string	Text alternative for the resource
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:wording		1..1	Annotation	Wording of the administration element
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)
note:comments		0..1	Annotation	Comment attached to the administration element
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)
dosage	SC	0..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	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element. 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	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required)
dose	C	0..1	SimpleQuantity	Amount of medication per dose
rate[x]	C	0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	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.category:code	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:nature	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.request.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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())

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• OncoFAIR MedicationAdministration Report (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medicationadministration-report)

Extensions

This structure refers to these extensions:

• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form

Slices

This structure defines the following Slices:

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

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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent 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-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-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form 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
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS. ele-1: All FHIR elements must have a @value or children
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration 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
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
category:code		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
category:nature		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur. ele-1: All FHIR elements must have a @value or children
medication	Σ	1..1	CodeableReference(Medication)	What was administered 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: element
subject	Σ	1..1	Reference(Patient | Group)	Who received medication ele-1: All FHIR elements must have a @value or children
Slices for occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this ele-1: All FHIR elements must have a @value or children
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
occurence[x]:occurencePeriod	SΣ	0..1	Period	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
start	ΣC	1..1	dateTime	Effective date and time for startinf administration of the administration element ele-1: All FHIR elements must have a @value or children
end	ΣC	0..1	dateTime	Effective date and time for ending administration of the administration element ele-1: All FHIR elements must have a @value or children
request	S	0..1	Reference(MedicationRequest)	Request administration performed against ele-1: All FHIR elements must have a @value or children
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL ele-1: All FHIR elements must have a @value or children
identifier	ΣC	0..1	Identifier	Unique identifier of the prescription element to which this administration element responds ele-1: All FHIR elements must have a @value or children
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element ele-1: All FHIR elements must have a @value or children
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id ele-1: All FHIR elements must have a @value or children
note:wording		1..1	Annotation	Wording of the administration element 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
note:comments		0..1	Annotation	Comment attached to the administration element 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
dosage	SC	0..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
site		0..1	CodeableConcept	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body. ele-1: All FHIR elements must have a @value or children
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element. 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. ele-1: All FHIR elements must have a @value or children
method		0..1	CodeableConcept	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required) 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.category	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:code	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:nature	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.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	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
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-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS.
partOf	S	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system
category:code		0..1	CodeableConcept	Type of medication administration
category:nature		0..1	CodeableConcept	Type of medication administration
medication		1..1	CodeableReference(Medication)	What was administered 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: element
Slices for occurence[x]		1..1	dateTime, Period, Timing	Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this
occurence[x]:occurencePeriod	S	0..1	Period	Specific date/time or interval of time during which the administration took place (or did not take place)
start		1..1	dateTime	Effective date and time for startinf administration of the administration element
end		0..1	dateTime	Effective date and time for ending administration of the administration element
request	S	0..1	Reference(MedicationRequest)	Request administration performed against
identifier		0..1	Identifier	Unique identifier of the prescription element to which this administration element responds
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:wording		1..1	Annotation	Wording of the administration element
id		1..1	id	Unique id for inter-element referencing Required Pattern: wording
note:comments		0..1	Annotation	Comment attached to the administration element
id		1..1	id	Unique id for inter-element referencing Required Pattern: comments
dosage	S	0..1	BackboneElement	Details of how medication was taken
site		0..1	CodeableConcept	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element.
method		0..1	CodeableConcept	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required)
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
MedicationAdministration.dosage.method	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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-urgent	S	0..1	boolean	Boolean attribute indicating the notion of urgency in creating the administration element URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
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-element-traceability		0..1	(Complex)	OncoFAIRMAElementTraceability URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
extension:oncofair-ma-plannedperiod		1..1	Period	OncoFAIRMAElementPlannedPeriod URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
extension:oncofair-element-form		0..1	CodeableConcept	Pharmaceutical form of the prescription/administration item URL: http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
identifier	S	1..1	Identifier	Unique identifier of the administration element in the HIS.
basedOn		0..*	Reference(CarePlan)	Plan this is fulfilled by this administration
partOf	SΣ	1..1	Reference(OncoFAIR MedicationAdministration Report)	The medication administration report linked to the element of administration
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.
Slices for category	S	0..*	CodeableConcept	Type of medication administration Slice: Unordered, Open by value:coding.system Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
category:code		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
category:nature		0..1	CodeableConcept	Type of medication administration Binding: MedicationAdministrationLocationCodes (example): A coded concept describing where the medication administered is expected to occur.
medication	Σ	1..1	CodeableReference(Medication)	What was administered 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: element
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
Slices for occurence[x]	Σ	1..1		Specific date/time or interval of time during which the administration took place (or did not take place) Slice: Unordered, Open by type:$this
occurenceDateTime			dateTime
occurencePeriod			Period
occurenceTiming			Timing
occurence[x]:occurencePeriod	SΣ	0..1	Period	Specific date/time or interval of time during which the administration took place (or did not take place)
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
start	ΣC	1..1	dateTime	Effective date and time for startinf administration of the administration element
end	ΣC	0..1	dateTime	Effective date and time for ending administration of the administration element
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	S	0..1	Reference(MedicationRequest)	Request administration performed against
id		0..1	id	Unique id for inter-element referencing
extension		0..*	Extension	Additional content defined by implementations Slice: Unordered, Open by value:url
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
type	Σ	0..1	uri	Type the reference refers to (e.g. "Patient") - must be a resource in resources Binding: ResourceType (extensible): Aa resource (or, for logical models, the URI of the logical model).
identifier	ΣC	0..1	Identifier	Unique identifier of the prescription element to which this administration element responds
display	ΣC	0..1	string	Text alternative for the resource
device	S	0..*	CodeableReference(Device)	Specifies, where applicable, the medical devices or equipment to be used to administer the product. By default, the associated devices are those listed in the prescription element associated with the administration element
Slices for note	S	1..*	Annotation	Information about the administration Slice: Unordered, Open by value:id
note:wording		1..1	Annotation	Wording of the administration element
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)
note:comments		0..1	Annotation	Comment attached to the administration element
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)
dosage	SC	0..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	Specifies, where applicable, the exact point on the body where the product is to be applied to the patient. By default, the place of administration is that shown in the prescription element associated with the administration element Binding: SNOMEDCTAnatomicalStructureAdministrationSites (example): A coded concept describing the site location the medicine enters into or onto the body.
route		0..1	CodeableConcept	Specifies the route of administration of the product. By default, it is the one shown in the prescription element associated with the administration element. 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	Type of administration element. Must be used to differentiate between management processes adapted to different types of drug treatment. Binding: Type de l'élément d'administration Value Set (required)
dose	C	0..1	SimpleQuantity	Amount of medication per dose
rate[x]	C	0..1		Dose quantity per unit of time
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	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.category:code	example	MedicationAdministrationLocationCodes http://hl7.org/fhir/ValueSet/medication-admin-location from the FHIR Standard
MedicationAdministration.category:nature	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.request.type	extensible	ResourceType http://hl7.org/fhir/ValueSet/resource-types 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	required	SIPhTypeEltPLAOncoFAIRValueSet (a valid code from Type de l'élément d'administration Code System) http://ltsi.univ-rennes.fr/ValueSet/siph-typeeltpla-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())

Summary

Mandatory: 7 elements(2 nested mandatory elements)
Must-Support: 9 elements

Structures

This structure refers to these other structures:

• OncoFAIR MedicationAdministration Report (http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-medicationadministration-report)

Extensions

This structure refers to these extensions:

• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-urgent
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-expirationdate
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-traceability
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-ma-element-plannedperiod
• http://ltsi.univ-rennes.fr/StructureDefinition/oncofair-element-form

Slices

This structure defines the following Slices:

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