Mongolian HDIT Implementation guide
1.0.0 - Review

Mongolian HDIT Implementation guide - Local Development build (v1.0.0). See the Directory of published versions

StructureDefinition: MedicationAdministrationMn

A representation of a administration of medication to an inpatient.

The official URL for this profile is: 

http://fhir.mn/StructureDefinition/mng-medication-administration

Formal Views of Profile Content

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

This structure is derived from MedicationDispense

Summary

Mandatory: 15 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationDispense.medication[x] is sliced based on the value of type:$this
  • The element MedicationDispense.dosageInstruction.timing.repeat.bounds[x] is sliced based on the value of type:$this

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseDispensing a medication to a named patient
... identifier S1..*IdentifierExternal identifier
... status S1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... medication[x] S1..1(Slice Definition)What medication was supplied
Slice: Unordered, Open by type:$this
... subject S1..1Reference(PatientMn)Who the dispense is for
... performer S1..1BackboneElementWho performed event
.... actor S1..1Reference(PractitionerRoleMn)Individual who was performing
... authorizingPrescription S1..1Reference(MedicationRequestMn)Medication order that authorizes the dispense
... quantity S1..1SimpleQuantityAmount dispensed
... daysSupply S1..1SimpleQuantityAmount of medication expressed as a timing amount
... dosageInstruction S1..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... timing S1..1TimingWhen medication should be administered
..... repeat S1..1ElementWhen the event is to occur
...... bounds[x] 1..1(Slice Definition)Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsPeriod S1..1PeriodLength/Range of lengths, or (Start and/or end) limits
....... start S1..1dateTimeStarting time with inclusive boundary
.... route S1..1CodeableConceptHow drug should enter body
.... doseAndRate S1..*ElementAmount of medication administered

doco Documentation for this format
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseDispensing a medication to a named patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SI1..*IdentifierExternal identifier
... partOf I0..*Reference(Procedure)Event that dispense is part of
... status ?!SΣI1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required)
... statusReason[x] I0..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example)
.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category I0..1CodeableConceptType of medication dispense
Binding: MedicationDispense Category Codes (preferred)
... medication[x] SΣI1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference ΣI1..1Reference(MedicationMn)What medication was supplied
... subject SΣI1..1Reference(PatientMn)Who the dispense is for
... context I0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation I0..*Reference(Resource)Information that supports the dispensing of the medication
... performer SI1..1BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function I0..1CodeableConceptWho performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example)
.... actor SI1..1Reference(PractitionerRoleMn)Individual who was performing
... location I0..1Reference(Location)Where the dispense occurred
... authorizingPrescription SI1..1Reference(MedicationRequestMn)Medication order that authorizes the dispense
... type I0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: V3 Value SetActPharmacySupplyType (example)
... quantity SI1..1SimpleQuantityAmount dispensed
... daysSupply SI1..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared ΣI0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver I0..1dateTimeWhen product was given out
... destination I0..1Reference(Location)Where the medication was sent
... receiver I0..*Reference(Patient | Practitioner)Who collected the medication
... note I0..*AnnotationInformation about the dispense
... dosageInstruction SI1..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence ΣI0..1integerThe order of the dosage instructions
.... text ΣI0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction ΣI0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example)
.... patientInstruction ΣI0..1stringPatient or consumer oriented instructions
.... timing SΣI1..1TimingWhen medication should be administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... event ΣI0..*dateTimeWhen the event occurs
..... repeat SΣI1..1ElementWhen the event is to occur
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] ΣI1..1(Slice Definition)Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsPeriod SΣI1..1PeriodLength/Range of lengths, or (Start and/or end) limits
........ id 0..1stringUnique id for inter-element referencing
........ extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣI1..1dateTimeStarting time with inclusive boundary
........ end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
...... count ΣI0..1positiveIntNumber of times to repeat
...... countMax ΣI0..1positiveIntMaximum number of times to repeat
...... duration ΣI0..1decimalHow long when it happens
...... durationMax ΣI0..1decimalHow long when it happens (Max)
...... durationUnit ΣI0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required)
...... frequency ΣI0..1positiveIntEvent occurs frequency times per period
...... frequencyMax ΣI0..1positiveIntEvent occurs up to frequencyMax times per period
...... period ΣI0..1decimalEvent occurs frequency times per period
...... periodMax ΣI0..1decimalUpper limit of period (3-4 hours)
...... periodUnit ΣI0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required)
...... dayOfWeek ΣI0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣI0..*timeTime of day for action
...... when ΣI0..*codeCode for time period of occurrence
Binding: EventTiming (required)
...... offset ΣI0..1unsignedIntMinutes from event (before or after)
..... code ΣI0..1CodeableConceptBID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred)
.... asNeeded[x] ΣI0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site ΣI0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
.... route SΣI1..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example)
.... method ΣI0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example)
.... doseAndRate SΣI1..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type ΣI0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example)
..... dose[x] ΣI0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] ΣI0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod ΣI0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration ΣI0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime ΣI0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted I1..1booleanWhether a substitution was or was not performed on the dispense
.... type I0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example)
.... reason I0..*CodeableConceptWhy was substitution made
Binding: V3 Value SetSubstanceAdminSubstitutionReason (example)
.... responsibleParty I0..*Reference(Practitioner | PractitionerRole)Who is responsible for the substitution
... detectedIssue I0..*Reference(DetectedIssue)Clinical issue with action
... eventHistory I0..*Reference(Provenance)A list of relevant lifecycle events

doco Documentation for this format

This structure is derived from MedicationDispense

Summary

Mandatory: 15 elements
Must-Support: 16 elements

Structures

This structure refers to these other structures:

Slices

This structure defines the following Slices:

  • The element MedicationDispense.medication[x] is sliced based on the value of type:$this
  • The element MedicationDispense.dosageInstruction.timing.repeat.bounds[x] is sliced based on the value of type:$this

Differential View

This structure is derived from MedicationDispense

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense 0..*MedicationDispenseDispensing a medication to a named patient
... identifier S1..*IdentifierExternal identifier
... status S1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
... medication[x] S1..1(Slice Definition)What medication was supplied
Slice: Unordered, Open by type:$this
... subject S1..1Reference(PatientMn)Who the dispense is for
... performer S1..1BackboneElementWho performed event
.... actor S1..1Reference(PractitionerRoleMn)Individual who was performing
... authorizingPrescription S1..1Reference(MedicationRequestMn)Medication order that authorizes the dispense
... quantity S1..1SimpleQuantityAmount dispensed
... daysSupply S1..1SimpleQuantityAmount of medication expressed as a timing amount
... dosageInstruction S1..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... timing S1..1TimingWhen medication should be administered
..... repeat S1..1ElementWhen the event is to occur
...... bounds[x] 1..1(Slice Definition)Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Open by type:$this
...... boundsPeriod S1..1PeriodLength/Range of lengths, or (Start and/or end) limits
....... start S1..1dateTimeStarting time with inclusive boundary
.... route S1..1CodeableConceptHow drug should enter body
.... doseAndRate S1..*ElementAmount of medication administered

doco Documentation for this format

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationDispense I0..*MedicationDispenseDispensing a medication to a named patient
... id Σ0..1stringLogical id of this artifact
... meta ΣI0..1MetaMetadata about the resource
... implicitRules ?!ΣI0..1uriA set of rules under which this content was created
... language I0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred)
Max Binding: AllLanguages
... text I0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... extension I0..*ExtensionAdditional content defined by implementations
... modifierExtension ?!I0..*ExtensionExtensions that cannot be ignored
... identifier SI1..*IdentifierExternal identifier
... partOf I0..*Reference(Procedure)Event that dispense is part of
... status ?!SΣI1..1codepreparation | in-progress | cancelled | on-hold | completed | entered-in-error | stopped | declined | unknown
Binding: MedicationDispense Status Codes (required)
... statusReason[x] I0..1Why a dispense was not performed
Binding: MedicationDispense Status Reason Codes (example)
.... statusReasonCodeableConceptCodeableConcept
.... statusReasonReferenceReference(DetectedIssue)
... category I0..1CodeableConceptType of medication dispense
Binding: MedicationDispense Category Codes (preferred)
... medication[x] SΣI1..1(Slice Definition)What medication was supplied
Slice: Unordered, Closed by type:$this
.... medication[x]:medicationReference ΣI1..1Reference(MedicationMn)What medication was supplied
... subject SΣI1..1Reference(PatientMn)Who the dispense is for
... context I0..1Reference(Encounter | EpisodeOfCare)Encounter / Episode associated with event
... supportingInformation I0..*Reference(Resource)Information that supports the dispensing of the medication
... performer SI1..1BackboneElementWho performed event
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function I0..1CodeableConceptWho performed the dispense and what they did
Binding: MedicationDispense Performer Function Codes (example)
.... actor SI1..1Reference(PractitionerRoleMn)Individual who was performing
... location I0..1Reference(Location)Where the dispense occurred
... authorizingPrescription SI1..1Reference(MedicationRequestMn)Medication order that authorizes the dispense
... type I0..1CodeableConceptTrial fill, partial fill, emergency fill, etc.
Binding: V3 Value SetActPharmacySupplyType (example)
... quantity SI1..1SimpleQuantityAmount dispensed
... daysSupply SI1..1SimpleQuantityAmount of medication expressed as a timing amount
... whenPrepared ΣI0..1dateTimeWhen product was packaged and reviewed
... whenHandedOver I0..1dateTimeWhen product was given out
... destination I0..1Reference(Location)Where the medication was sent
... receiver I0..*Reference(Patient | Practitioner)Who collected the medication
... note I0..*AnnotationInformation about the dispense
... dosageInstruction SI1..*DosageHow the medication is to be used by the patient or administered by the caregiver
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... sequence ΣI0..1integerThe order of the dosage instructions
.... text ΣI0..1stringFree text dosage instructions e.g. SIG
.... additionalInstruction ΣI0..*CodeableConceptSupplemental instruction or warnings to the patient - e.g. "with meals", "may cause drowsiness"
Binding: SNOMEDCTAdditionalDosageInstructions (example)
.... patientInstruction ΣI0..1stringPatient or consumer oriented instructions
.... timing SΣI1..1TimingWhen medication should be administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
..... event ΣI0..*dateTimeWhen the event occurs
..... repeat SΣI1..1ElementWhen the event is to occur
...... id 0..1stringUnique id for inter-element referencing
...... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
...... bounds[x] ΣI1..1(Slice Definition)Length/Range of lengths, or (Start and/or end) limits
Slice: Unordered, Closed by type:$this
....... bounds[x]:boundsPeriod SΣI1..1PeriodLength/Range of lengths, or (Start and/or end) limits
........ id 0..1stringUnique id for inter-element referencing
........ extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
........ start SΣI1..1dateTimeStarting time with inclusive boundary
........ end ΣI0..1dateTimeEnd time with inclusive boundary, if not ongoing
...... count ΣI0..1positiveIntNumber of times to repeat
...... countMax ΣI0..1positiveIntMaximum number of times to repeat
...... duration ΣI0..1decimalHow long when it happens
...... durationMax ΣI0..1decimalHow long when it happens (Max)
...... durationUnit ΣI0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required)
...... frequency ΣI0..1positiveIntEvent occurs frequency times per period
...... frequencyMax ΣI0..1positiveIntEvent occurs up to frequencyMax times per period
...... period ΣI0..1decimalEvent occurs frequency times per period
...... periodMax ΣI0..1decimalUpper limit of period (3-4 hours)
...... periodUnit ΣI0..1codes | min | h | d | wk | mo | a - unit of time (UCUM)
Binding: UnitsOfTime (required)
...... dayOfWeek ΣI0..*codemon | tue | wed | thu | fri | sat | sun
Binding: DaysOfWeek (required)
...... timeOfDay ΣI0..*timeTime of day for action
...... when ΣI0..*codeCode for time period of occurrence
Binding: EventTiming (required)
...... offset ΣI0..1unsignedIntMinutes from event (before or after)
..... code ΣI0..1CodeableConceptBID | TID | QID | AM | PM | QD | QOD | +
Binding: TimingAbbreviation (preferred)
.... asNeeded[x] ΣI0..1Take "as needed" (for x)
Binding: SNOMEDCTMedicationAsNeededReasonCodes (example)
..... asNeededBooleanboolean
..... asNeededCodeableConceptCodeableConcept
.... site ΣI0..1CodeableConceptBody site to administer to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example)
.... route SΣI1..1CodeableConceptHow drug should enter body
Binding: SNOMEDCTRouteCodes (example)
.... method ΣI0..1CodeableConceptTechnique for administering medication
Binding: SNOMEDCTAdministrationMethodCodes (example)
.... doseAndRate SΣI1..*ElementAmount of medication administered
..... id 0..1stringUnique id for inter-element referencing
..... extension I0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... type ΣI0..1CodeableConceptThe kind of dose or rate specified
Binding: DoseAndRateType (example)
..... dose[x] ΣI0..1Amount of medication per dose
...... doseRangeRange
...... doseQuantityQuantity(SimpleQuantity)
..... rate[x] ΣI0..1Amount of medication per unit of time
...... rateRatioRatio
...... rateRangeRange
...... rateQuantityQuantity(SimpleQuantity)
.... maxDosePerPeriod ΣI0..1RatioUpper limit on medication per unit of time
.... maxDosePerAdministration ΣI0..1SimpleQuantityUpper limit on medication per administration
.... maxDosePerLifetime ΣI0..1SimpleQuantityUpper limit on medication per lifetime of the patient
... substitution I0..1BackboneElementWhether a substitution was performed on the dispense
.... id 0..1stringUnique id for inter-element referencing
.... extension I0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!ΣI0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... wasSubstituted I1..1booleanWhether a substitution was or was not performed on the dispense
.... type I0..1CodeableConceptCode signifying whether a different drug was dispensed from what was prescribed
Binding: V3 Value SetActSubstanceAdminSubstitutionCode (example)
.... reason I0..*CodeableConceptWhy was substitution made
Binding: V3 Value SetSubstanceAdminSubstitutionReason (example)
.... responsibleParty I0..*Reference(Practitioner | PractitionerRole)Who is responsible for the substitution
... detectedIssue I0..*Reference(DetectedIssue)Clinical issue with action
... eventHistory I0..*Reference(Provenance)A list of relevant lifecycle events

doco Documentation for this format

 

Other representations of profile: Schematron

Terminology Bindings

Terminology Bindings

PathConformanceValueSet
MedicationDispense.languagepreferredCommonLanguages
Max Binding: AllLanguages
MedicationDispense.statusrequiredMedicationDispense Status Codes
MedicationDispense.statusReason[x]exampleMedicationDispense Status Reason Codes
MedicationDispense.categorypreferredMedicationDispense Category Codes
MedicationDispense.performer.functionexampleMedicationDispense Performer Function Codes
MedicationDispense.typeexamplev3.ActPharmacySupplyType
MedicationDispense.dosageInstruction.additionalInstructionexampleSNOMEDCTAdditionalDosageInstructions
MedicationDispense.dosageInstruction.timing.repeat.durationUnitrequiredUnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.periodUnitrequiredUnitsOfTime
MedicationDispense.dosageInstruction.timing.repeat.dayOfWeekrequiredDaysOfWeek
MedicationDispense.dosageInstruction.timing.repeat.whenrequiredEventTiming
MedicationDispense.dosageInstruction.timing.codepreferredTimingAbbreviation
MedicationDispense.dosageInstruction.asNeeded[x]exampleSNOMEDCTMedicationAsNeededReasonCodes
MedicationDispense.dosageInstruction.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationDispense.dosageInstruction.routeexampleSNOMEDCTRouteCodes
MedicationDispense.dosageInstruction.methodexampleSNOMEDCTAdministrationMethodCodes
MedicationDispense.dosageInstruction.doseAndRate.typeexampleDoseAndRateType
MedicationDispense.substitution.typeexamplev3.ActSubstanceAdminSubstitutionCode
MedicationDispense.substitution.reasonexamplev3.SubstanceAdminSubstitutionReason

Constraints

Constraints

IdPathDetailsRequirements