IL Core Implementation Guide
0.18.0 - draft Israel flag

This page is part of the IL-Core IG (v0.18.0: draft-1 Draft) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: ILCore MedicationAdministration Profile

Official URL: http://fhir.health.gov.il/StructureDefinition/il-core-medication-administration Version: 0.18.0
Standards status: Trial-use Maturity Level: 1 Computable Name: ILCoreMedicationAdministration

Israel Core proposed constraints and extensions on the MedicationAdministration Resource

כללי

משאב הבסיס MedicationAdministration נועד לתעד ביצוע של מתן תרופה למטופל, או צריכת התרופה על ידו. משאב זה משמש את כלל מסגרות הטיפול השונות (בית חולים, קופת חולים וכו’) בהם יש לתעד את ביצוע מתן התרופה, כולל מתן עצמי של תרופות דרך הפה, זריקות, טיפול תוך ורידי, וכו’. ניתן להשתמש בו גם במרפאות חוץ כדי לתעד זריקות נגד אלרגיה ומתן תרופה אחרת שאינה חיסון. במקרים מסוימים, ניתן להשתמש במשאב זה גם לדיווח על מתן תרופה בתוך מסגרת ביתית, כגון מתן אינסולין בניהול עצמי או במכשיר. המשאב מאפשר לתעד קישור למשאבים הקשורים לאירוע זה כגון שורת המרשם בה נרשמה התרופה (MedicationRequest), או לביקור (Encounter) שבו בוצע המתן. עוד מידע על פרופיל זה ניתן למצוא באתר הקהילה

גבולות וקשר לפרופילים אחרים

MedicationAdministration מיועד למעקב אחר מתן תרופות שאינן חיסונים. לכן, מערכות המתייחסות לחיסונים כמתן תרופה רגילה צריכות להשתמש במשאב Immunization כדי לייצג אותם. במידה ומערכות אלו חייבות להשתמש במשאב MedicationAdministration כדי לתעד חיסון בגלל אופן העבודה המקומי, או מכל סיבה אחרת, יש עדיין ליצור בנוסף גם מופע של משאב Immunization לחיסון.

הרחבות שנוספו בפרופיל

בדומה לפרופיל MedicationRequest, הוחלט להוסיף הרחבות (extensions) ע”מ לתמוך בתרחישי שימוש שונים שעלו במהלך ההסדרה של פרופיל זה עם ארגוני הבריאות השונים. להלן ההרחבות שנוספו לפרופיל (כולן אופציונאליות):

  • narcotic – אינדיקציה (“דגל”) האם התרופה היא תרופה נרקוטית. נדרש ע”מ לתמוך ברגולציה הקיימת להוראות לתרופות נרקוטיות. תרופות נרקוטיות יסומנו כ- true, ואלה שאינן נרקוטיות יסומנו כ- false
  • recorded – הזמן שבו תועד מתן התרופה במערכת

שדות חובה

בכל משאב התואם לפרופיל ILCoreMedicationAdministration חייבים להיות האלמנטים הבאים:

  • status – סטטוס המתן
  • Medication – קוד התרופה
  • Subject – המידע על המטופל
  • Effective – זמן המתן

Must Support

בנוסף לאלמנטים שהוגדרו כחובה, הכיתוב MS (Must Support) ליד כל אלמנט מציין שכל מערכת חייבת לתמוך גם באלמנט זה במידה והוא קיים במופע ה-MedicationAdministration שהתקבל. להלן האלמנטים שהוגדר להם MS:

  • dosage.text – הוראות מינון בטקסט חופשי
  • dosage.dose – הוראות מינון

Usage:

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... partOf 0..* Reference(ILCore MedicationAdministration Profile | ILCore Procedure Profile) Part of referenced event
... status S 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What was administered
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference 0..1 Reference(ILCore Medication Profile) What was administered
... subject S 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... effective[x] S 1..1 dateTime, Period Start and end time of administration
... performer
.... actor 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who performed the medication administration
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... dosage
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication administration Category (extensible)
... Slices for medication[x] SΣ 1..1 What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What was administered
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... effective[x] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... dosage C 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | ILCore Procedure Profile) Part of referenced event
... status ?!SΣ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication administration Category (extensible)
... Slices for medication[x] SΣ 1..1 What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What was administered
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who performed the medication administration
... reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... note 0..* Annotation Information about the administration
... dosage C 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG

This structure is derived from MedicationAdministration

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... partOf 0..* Reference(ILCore MedicationAdministration Profile | ILCore Procedure Profile) Part of referenced event
... status S 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
... Slices for medication[x] S 1..1 CodeableConcept, Reference(Medication) What was administered
Slice: Unordered, Open by type:$this
.... medication[x]:medicationCodeableConcept 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference 0..1 Reference(ILCore Medication Profile) What was administered
... subject S 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... effective[x] S 1..1 dateTime, Period Start and end time of administration
... performer
.... actor 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who performed the medication administration
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... dosage
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSetURI
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... status ?!SΣ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication administration Category (extensible)
... Slices for medication[x] SΣ 1..1 What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What was administered
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... effective[x] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... dosage C 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..* MedicationAdministration ILCore MedicationAdministration Profile
... id Σ 0..1 id Logical id of this artifact
... meta Σ 0..1 Meta Metadata about the resource
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... language 0..1 code Language of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguages Max Binding
... text 0..1 Narrative Text summary of the resource, for human interpretation
... contained 0..* Resource Contained, inline Resources
... Slices for extension 0..* Extension Extension
Slice: Unordered, Open by value:url
.... narcotic 0..1 boolean Ext: Narcotic Medication
URL: http://fhir.health.gov.il/StructureDefinition/ext-narcotic-medication
.... recorded 0..1 dateTime Ext: Recorded Time
URL: http://fhir.health.gov.il/StructureDefinition/ext-recorded-time
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(ILCore MedicationAdministration Profile | ILCore Procedure Profile) Part of referenced event
... status ?!SΣ 1..1 code in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

... statusReason 0..* CodeableConcept Reason administration not performed
Binding: SNOMEDCTReasonMedicationNotGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration is negated.


... category 0..1 CodeableConcept Type of medication usage
Binding: ILCore Medication administration Category (extensible)
... Slices for medication[x] SΣ 1..1 What was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medicationCodeableConcept CodeableConcept
.... medicationReference Reference(Medication)
.... medication[x]:medicationCodeableConcept Σ 0..1 CodeableConcept What was administered
Binding: ILCore Medication statement Code (extensible)
.... medication[x]:medicationReference Σ 0..1 Reference(ILCore Medication Profile) What was administered
... subject SΣ 1..1 Reference(ILCore Patient Profile | ILCore Group Profile) Who received medication
... context 0..1 Reference(ILCore Encounter Profile | EpisodeOfCare) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 Start and end time of administration
.... effectiveDateTime dateTime
.... effectivePeriod Period
... performer Σ 0..* BackboneElement Who performed the medication administration and what they did
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function 0..1 CodeableConcept Type of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ 1..1 Reference(ILCore Practitioner Profile | ILCore PractitionerRole Profile | ILCore Patient Profile | ILCore RelatedPerson Profile | ILCore Device Profile) Who performed the medication administration
... reasonCode 0..* CodeableConcept Reason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 0..* Reference(ILCore Condition Profile | ILCore Observation Profile | ILCore DiagnosticReport Profile) Condition or observation that supports why the medication was administered
... request 0..1 Reference(ILCore MedicationRequest Profile) Request administration performed against
... device 0..* Reference(ILCore Device Profile) Device used to administer
... note 0..* Annotation Information about the administration
... dosage C 0..1 BackboneElement Details of how medication was taken
mad-1: SHALL have at least one of dosage.dose or dosage.rate[x]
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... text S 0..1 string Free text dosage instructions e.g. SIG
.... site 0..1 CodeableConcept Body site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (extensible): 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 (extensible): 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 (preferred): A coded concept describing the technique by which the medicine is administered.

.... dose S 0..1 SimpleQuantity Amount of medication per dose
Binding: IL Core Units Of Measure Codes (extensible)
Additional BindingsPurpose
IL Core Units Of Measure Codes Max Binding
.... rate[x] 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)
... eventHistory 0..* Reference(Provenance) A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSetURI
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
http://hl7.org/fhir/ValueSet/languages
from the FHIR Standard
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1
from the FHIR Standard
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes
from the FHIR Standard
MedicationAdministration.categoryextensibleILCoreMedicationAdministrartionCategory
http://fhir.health.gov.il/ValueSet/il-core-medication-administration-category
from this IG
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
http://hl7.org/fhir/ValueSet/medication-codes
from the FHIR Standard
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleILCoreMedicationStatementCode
http://fhir.health.gov.il/ValueSet/il-core-medication-statement-code
from this IG
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
http://hl7.org/fhir/ValueSet/med-admin-perform-function
from the FHIR Standard
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
http://hl7.org/fhir/ValueSet/reason-medication-given-codes
from the FHIR Standard
MedicationAdministration.dosage.siteextensibleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
http://hl7.org/fhir/ValueSet/approach-site-codes
from the FHIR Standard
MedicationAdministration.dosage.routeextensibleSNOMEDCTRouteCodes
http://hl7.org/fhir/ValueSet/route-codes
from the FHIR Standard
MedicationAdministration.dosage.methodpreferredSNOMEDCTAdministrationMethodCodes
http://hl7.org/fhir/ValueSet/administration-method-codes
from the FHIR Standard
MedicationAdministration.dosage.doseextensibleILCoreCommonUnitsOfMeasure
Additional Bindings Purpose
IL Core Units Of Measure Codes Max Binding
http://fhir.health.gov.il/ValueSet/il-core-common-units-of-measure
from this IG

This structure is derived from MedicationAdministration

 

Other representations of profile: CSV, Excel, Schematron