minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4
minimal Common Oncology Data Elements (mCODE) Implementation Guide
4.0.0 - STU4
This page is part of the HL7 FHIR Implementation Guide: minimal Common Oncology Data Elements (mCODE) Release 1 - US Realm | STU1 (v4.0.0: STU4) 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
| Official URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-cancer-related-medication-administration | Version: 4.0.0 | |||
| Active as of 2025-02-16 | Maturity Level: 3 | Computable Name: CancerRelatedMedicationAdministration | ||
| Other Identifiers: OID:2.16.840.1.113883.4.642.40.15.42.8 | ||||
An episode of medication administration for a patient whose condition is related to a primary or secondary cancer condition. In the context of chemotherapy drugs, the medication administration in most cases is performed and documented by the provider.
MedicationAdministration resources associated with an in-scope patient SHALL conform to this profile. Beyond this requirement, a producer of resources SHOULD ensure that any resource instance associated with an in-scope patient that would reasonably be expected to conform to this profile SHOULD be published in this form.
Usage:
Changes since version true:
Description of Profiles, Differentials, Snapshots and how the different presentations work.
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
  MedicationAdministration |
C | 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 mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped |
  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 |
  Slices for extension |
S | 0..* | 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 |
   treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
 normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
 modifierExtension |
?! | 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 |
| 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. ele-1: All FHIR elements must have a @value or children |
 statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) ele-1: All FHIR elements must have a @value or children |
 medication[x] |
SΣ | 1..1 | What was administered Binding: Medication Clinical Drug  (extensible)ele-1: All FHIR elements must have a @value or children | |
| medicationCodeableConcept |
CodeableConcept | |||
  medicationReference |
Reference(Medication) | |||
| subject |
SΣ | 1..1 | Reference(Cancer Patient Profile) | Who received medication ele-1: All FHIR elements must have a @value or children |
| effective[x] |
SΣ | 1..1 | Start and end time of administration ele-1: All FHIR elements must have a @value or children | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | |
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped |
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) |
| normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) | |
 status |
S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
| statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) |
| medication[x] |
S | 1..1 | CodeableConcept, Reference(Medication) | What was administered Binding: Medication Clinical Drug (extensible) |
| subject |
S | 1..1 | Reference(Cancer Patient Profile) | Who received medication |
| effective[x] |
S | 1..1 | dateTime, Period | Start and end time of administration |
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) |
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) | ||||
| normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) | |||||
| 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(MedicationAdministration | Procedure) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
| statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) | ||||
| category |
0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| medication[x] |
SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
SΣ | 1..1 | Reference(Cancer Patient Profile) | Who received medication | ||||
| context |
0..1 | Reference(Encounter | 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(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) | ||||
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered | ||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | Information about the administration | |||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken 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 |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| dose |
0..1 | SimpleQuantity | Amount of medication per dose | |||||
 rate[x] |
0..1 | Dose quantity per unit of time | ||||||
 rateRatio |
Ratio | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | ||||
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
This structure is derived from MedicationAdministration
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Key Elements View
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration |
C | 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 mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped |
| 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 |
| Slices for extension |
S | 0..* | 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 |
| treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both |
| normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) ele-1: All FHIR elements must have a @value or children ext-1: Must have either extensions or value[x], not both | |
| modifierExtension |
?! | 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 |
| 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. ele-1: All FHIR elements must have a @value or children |
| statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) ele-1: All FHIR elements must have a @value or children |
| medication[x] |
SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible)ele-1: All FHIR elements must have a @value or children | |
| medicationCodeableConcept |
CodeableConcept | |||
| medicationReference |
Reference(Medication) | |||
| subject |
SΣ | 1..1 | Reference(Cancer Patient Profile) | Who received medication ele-1: All FHIR elements must have a @value or children |
| effective[x] |
SΣ | 1..1 | Start and end time of administration ele-1: All FHIR elements must have a @value or children | |
| effectiveDateTime |
dateTime | |||
| effectivePeriod |
Period | |||
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) ele-1: All FHIR elements must have a @value or children |
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered ele-1: All FHIR elements must have a @value or children |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | |
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
Differential View
This structure is derived from MedicationAdministration
| Name | Flags | Card. | Type | Description & Constraints |
|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped |
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url |
| treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) |
| normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) | |
| status |
S | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown |
| statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) |
| medication[x] |
S | 1..1 | CodeableConcept, Reference(Medication) | What was administered Binding: Medication Clinical Drug (extensible) |
| subject |
S | 1..1 | Reference(Cancer Patient Profile) | Who received medication |
| effective[x] |
S | 1..1 | dateTime, Period | Start and end time of administration |
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) |
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered |
| Documentation for this format | ||||
| Path | Conformance | ValueSet | URI |
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | |
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | |
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints | ||||
|---|---|---|---|---|---|---|---|---|
| MedicationAdministration |
C | 0..* | MedicationAdministration | Administration of medication to a patient mcode-reason-required: One of reasonCode or reasonReference SHALL be present termination-reason-code-invariant: When status is stopped, only certain statusReason values are allowed termination-reason-invariant: Certain statusReason values are allowed only when status is stopped | ||||
| 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.
| |||||
| text |
0..1 | Narrative | Text summary of the resource, for human interpretation | |||||
| contained |
0..* | Resource | Contained, inline Resources | |||||
| Slices for extension |
S | 0..* | Extension | Extension Slice: Unordered, Open by value:url | ||||
| treatmentIntent |
S | 0..1 | CodeableConcept | Procedure Intent Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-procedure-intent Binding: Procedure Intent Value Set (extensible) | ||||
| normalizationBasis |
0..1 | CodeableConcept | Normalization Basis Extension URL: http://hl7.org/fhir/us/mcode/StructureDefinition/mcode-normalization-basis Binding: Normalization Basis Value Set (required) | |||||
| 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(MedicationAdministration | Procedure) | Part of referenced event | ||||
| status |
?!SΣ | 1..1 | code | in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration. | ||||
| statusReason |
S | 0..* | CodeableConcept | Reason administration not performed Binding: Treatment Termination Reason Value Set (preferred) | ||||
| category |
0..1 | CodeableConcept | Type of medication usage Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur. | |||||
| medication[x] |
SΣ | 1..1 | What was administered Binding: Medication Clinical Drug (extensible) | |||||
| medicationCodeableConcept |
CodeableConcept | |||||||
| medicationReference |
Reference(Medication) | |||||||
| subject |
SΣ | 1..1 | Reference(Cancer Patient Profile) | Who received medication | ||||
| context |
0..1 | Reference(Encounter | 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(Practitioner | PractitionerRole | Patient | RelatedPerson | Device) | Who performed the medication administration | ||||
| reasonCode |
S | 0..* | CodeableConcept | Reason administration performed Binding: Cancer Disorder Value Set (extensible) | ||||
| reasonReference |
S | 0..* | Reference(US Core Condition Problems and Health Concerns Profile) | Condition or observation that supports why the medication was administered | ||||
| request |
0..1 | Reference(MedicationRequest) | Request administration performed against | |||||
| device |
0..* | Reference(Device) | Device used to administer | |||||
| note |
0..* | Annotation | Information about the administration | |||||
| dosage |
C | 0..1 | BackboneElement | Details of how medication was taken 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 |
0..1 | string | Free text dosage instructions e.g. SIG | |||||
| site |
0..1 | CodeableConcept | Body site administered to Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body. | |||||
| route |
0..1 | CodeableConcept | Path of substance into body Binding: SNOMEDCTRouteCodes (example): A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject. | |||||
| method |
0..1 | CodeableConcept | How drug was administered Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered. | |||||
| dose |
0..1 | SimpleQuantity | Amount of medication per dose | |||||
| rate[x] |
0..1 | Dose quantity per unit of time | ||||||
| rateRatio |
Ratio | |||||||
| rateQuantity |
Quantity(SimpleQuantity) | |||||||
| eventHistory |
0..* | Reference(Provenance) | A list of events of interest in the lifecycle | |||||
| Documentation for this format | ||||||||
| Path | Conformance | ValueSet | URI | |||
| MedicationAdministration.language | preferred | CommonLanguageshttp://hl7.org/fhir/ValueSet/languagesfrom the FHIR Standard
| ||||
| MedicationAdministration.status | required | MedicationAdministration Status Codeshttp://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1from the FHIR Standard | ||||
| MedicationAdministration.statusReason | preferred | TreatmentTerminationReasonVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-treatment-termination-reason-vsfrom this IG | ||||
| MedicationAdministration.category | preferred | MedicationAdministration Category Codeshttp://hl7.org/fhir/ValueSet/medication-admin-categoryfrom the FHIR Standard | ||||
| MedicationAdministration.medication[x] | extensible | MedicationClinicalDrug http://cts.nlm.nih.gov/fhir/ValueSet/2.16.840.1.113762.1.4.1010.4 | ||||
| MedicationAdministration.performer.function | example | MedicationAdministration Performer Function Codeshttp://hl7.org/fhir/ValueSet/med-admin-perform-functionfrom the FHIR Standard | ||||
| MedicationAdministration.reasonCode | extensible | CancerDisorderVShttp://hl7.org/fhir/us/mcode/ValueSet/mcode-cancer-disorder-vsfrom this IG | ||||
| MedicationAdministration.dosage.site | example | SNOMEDCTAnatomicalStructureForAdministrationSiteCodeshttp://hl7.org/fhir/ValueSet/approach-site-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.route | example | SNOMEDCTRouteCodeshttp://hl7.org/fhir/ValueSet/route-codesfrom the FHIR Standard | ||||
| MedicationAdministration.dosage.method | example | SNOMEDCTAdministrationMethodCodeshttp://hl7.org/fhir/ValueSet/administration-method-codesfrom the FHIR Standard |
| Id | Grade | Path(s) | Details | Requirements |
| mcode-reason-required | warning | MedicationAdministration | One of reasonCode or reasonReference SHALL be present : reasonCode.exists() or reasonReference.exists() | |
| termination-reason-code-invariant | error | MedicationAdministration | When status is stopped, only certain statusReason values are allowed : status = 'stopped' and statusReason.exists() and statusReason.coding.exists() implies statusReason.coding.exists(system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) | |
| termination-reason-invariant | error | MedicationAdministration | Certain statusReason values are allowed only when status is stopped : statusReason.exists() and statusReason.coding.exists( system = 'http://snomed.info/sct' and (code = '182992009' or code = '266721009' or code = '407563006' or code = '160932005' or code = '105480006' or code = '184081006' or code = '309846006' or code = '399307001' or code = '419620001' or code = '7058009' or code = '443729008' or code = '77386006')) implies status = 'stopped' |
This structure is derived from MedicationAdministration
Summary
Must-Support: 9 elements
Structures
This structure refers to these other structures:
Extensions
This structure refers to these extensions:
Maturity: 3
Other representations of profile: CSV, Excel, Schematron
IG © 2019+ HL7 International / Clinical Interoperability Council. Package hl7.fhir.us.mcode#4.0.0 based on FHIR 4.0.1. Generated 2025-02-16
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