Kenya ePrescription FHIR Implementation Guide
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Resource Profile: Kenya eRx MedicationAdministration

Official URL: https://nshr-uat.sha.go.ke/StructureDefinition/ke-medication-administration Version: 0.1.0
Draft as of 2026-04-24 Computable Name: KEMedicationAdministration

Copyright/Legal: Copyright 2025+ Digital Health Agency, Kenya. This content is licensed under Creative Commons Attribution 4.0 International (CC-BY-4.0). Terminology content from the Kenya Pharmacy and Poisons Board (PPB) via Open Concept Lab (OCL) is subject to separate terms.

Profile on MedicationAdministration for the Kenya eRx Implementation Guide.

Usages:

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

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

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier External identifier
... partOf Σ 0..* Reference(Procedure | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] SΣ 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject SΣ 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... effective[x] SΣ 1..1 dateTime Date/time medication was administered
... performer SΣ 1..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor SΣ 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... dosage SC 1..1 BackboneElement Dosage details for this administration event
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... site S 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 S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
... identifier S 0..* Identifier External identifier
... status S 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] S 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject S 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... effective[x] S 1..1 dateTime Date/time medication was administered
... performer S 1..* BackboneElement Who performed the medication administration and what they did
.... function S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor S 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... dosage S 1..1 BackboneElement Dosage details for this administration event
.... site S 0..1 CodeableConcept Body site administered to
.... route S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 0..1 Ratio, SimpleQuantity(4.0.1) Dose quantity per unit of time

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown
NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(Procedure | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] SΣ 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject SΣ 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 dateTime Date/time medication was administered
... performer SΣ 1..* 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 S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor SΣ 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage SC 1..1 BackboneElement Dosage details for this administration event
Constraints: mad-1
.... 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 S 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 S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 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

Path Status Usage ValueSet Version Source
MedicationAdministration.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

Summary

Mandatory: 8 elements
Must-Support: 22 elements

Key Elements View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
... implicitRules ?!Σ 0..1 uri A set of rules under which this content was created
... identifier S 0..* Identifier External identifier
... partOf Σ 0..* Reference(Procedure | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] SΣ 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject SΣ 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... effective[x] SΣ 1..1 dateTime Date/time medication was administered
... performer SΣ 1..* BackboneElement Who performed the medication administration and what they did
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... function S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor SΣ 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... dosage SC 1..1 BackboneElement Dosage details for this administration event
Constraints: mad-1
.... modifierExtension ?!Σ 0..* Extension Extensions that cannot be ignored even if unrecognized
.... site S 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 S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 0..1 Dose quantity per unit of time
..... rateRatio Ratio
..... rateQuantity Quantity(SimpleQuantity)

doco Documentation for this format

Terminology Bindings

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id 1..1 id Logical id of this artifact
... meta S 1..1 Meta Metadata about the resource
.... profile S 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
... identifier S 0..* Identifier External identifier
... status S 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] S 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject S 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... effective[x] S 1..1 dateTime Date/time medication was administered
... performer S 1..* BackboneElement Who performed the medication administration and what they did
.... function S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor S 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... dosage S 1..1 BackboneElement Dosage details for this administration event
.... site S 0..1 CodeableConcept Body site administered to
.... route S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 0..1 Ratio, SimpleQuantity(4.0.1) Dose quantity per unit of time

doco Documentation for this format

Terminology Bindings (Differential)

Path Status Usage ValueSet Version Source
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown

Snapshot View

NameFlagsCard.TypeDescription & Constraints    Filter: Filtersdoco
.. MedicationAdministration 0..* MedicationAdministration Administration of medication to a patient
... id Σ 1..1 id Logical id of this artifact
... meta SΣ 1..1 Meta Metadata about the resource
.... id 0..1 string Unique id for inter-element referencing
.... extension 0..* Extension Additional content defined by implementations
Slice: Unordered, Open by value:url
.... versionId Σ 0..1 id Version specific identifier
.... lastUpdated Σ 0..1 instant When the resource version last changed
.... source Σ 0..1 uri Identifies where the resource comes from
.... profile SΣ 1..* canonical(StructureDefinition) Profiles this resource claims to conform to.
.... security Σ 0..* Coding Security Labels applied to this resource
Binding: All Security Labels (extensible): Security Labels from the Healthcare Privacy and Security Classification System.
.... tag Σ 0..* Coding Tags applied to this resource
Binding: CommonTags (example): Codes that represent various types of tags, commonly workflow-related; e.g. "Needs review by Dr. Jones".
... 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
This profile does not constrain the narrative in regard to content, language, or traceability to data elements
... contained 0..* Resource Contained, inline Resources
... extension 0..* Extension Additional content defined by implementations
... modifierExtension ?! 0..* Extension Extensions that cannot be ignored
... identifier S 0..* Identifier External identifier
... instantiates Σ 0..* uri Instantiates protocol or definition
... partOf Σ 0..* Reference(Procedure | MedicationAdministration) Part of referenced event
... status ?!SΣ 1..1 code Status (in-progress, not-done, on-hold, completed, entered-in-error, stopped, unknown)
Binding: MedicationAdministration Status Codes (required)
... statusReason S 0..* CodeableConcept ​Reason for current status (e.g. patient refused, clinical hold)
Binding: https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason (required)
... category S 0..1 CodeableConcept Type of medication administration (inpatient, outpatient)
Binding: MedicationAdministration Category Codes (required)
... medication[x] SΣ 1..1 CodeableConcept ​Medication administered — Kenya MOH PPB Generic Products
Binding: https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs (required)
... subject SΣ 1..1 Reference(Patient) Who received medication
... context S 1..1 Reference(Encounter) Encounter or Episode of Care administered as part of
... supportingInformation 0..* Reference(Resource) Additional information to support administration
... effective[x] SΣ 1..1 dateTime Date/time medication was administered
... performer SΣ 1..* 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 S 0..1 CodeableConcept Role individual played in administering the medication
Binding: MedicationAdministration Performer Function Codes (required)
.... actor SΣ 1..1 Reference(Practitioner | PractitionerRole) Administrator (nurse, clinician, authorised staff)
... reasonCode S 0..* CodeableConcept Reason for medication administration (ICD-11)
Binding: https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand (required)
... reasonReference 0..* Reference(Condition | Observation | DiagnosticReport) Condition or observation that supports why the medication was administered
... request S 0..1 Reference(MedicationRequest) Link back to originating prescription
... device S 0..* Reference(Device) Device used to administer
... note 0..* Annotation Information about the administration
... dosage SC 1..1 BackboneElement Dosage details for this administration event
Constraints: mad-1
.... 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 S 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 S 1..1 CodeableConcept ​Route of administration
Binding: https://nshr-uat.sha.go.ke/ValueSet/med-admin-route (required)
.... method S 0..1 CodeableConcept ​Method of administration (e.g. IV push, inhalation)
Binding: https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs (required)
.... dose S 1..1 SimpleQuantity(4.0.1) Quantity of medication administered (UCUM)
.... rate[x] S 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

Path Status Usage ValueSet Version Source
MedicationAdministration.​meta.security Base extensible SecurityLabels 📍4.0.1 FHIR Std.
MedicationAdministration.​meta.tag Base example Common Tags 📍4.0.1 FHIR Std.
MedicationAdministration.​language Base preferred Common Languages 📍4.0.1 FHIR Std.
MedicationAdministration.​status Base required Medication administration status codes 📦4.0.1 FHIR Std.
MedicationAdministration.​statusReason Base required ​ https://nshr-uat.sha.go.ke/ValueSet/medication-admin-status-reason Not State Unknown
MedicationAdministration.​category Base required Medication administration category codes 📦4.0.1 FHIR Std.
MedicationAdministration.​medication[x] Base required ​ https://nshr-uat.sha.go.ke/ValueSet/generic-products-vs Not State Unknown
MedicationAdministration.​performer.function Base required Medication administration performer function codes 📦4.0.1 FHIR Std.
MedicationAdministration.​reasonCode Base required https://ilm-hie.dha.go.ke/ocl/orgs/WHO/ValueSet/icd-11/$expand Not State Unknown
MedicationAdministration.​dosage.site Base example SNOMED CT Anatomical Structure for Administration Site Codes 📍4.0.1 FHIR Std.
MedicationAdministration.​dosage.route Base required ​ https://nshr-uat.sha.go.ke/ValueSet/med-admin-route Not State Unknown
MedicationAdministration.​dosage.method Base required ​ https://nshr-uat.sha.go.ke/ValueSet/route-of-administration-vs Not State Unknown

Constraints

Id Grade Path(s) Description Expression
dom-2 error MedicationAdministration If the resource is contained in another resource, it SHALL NOT contain nested Resources contained.contained.empty()
dom-3 error MedicationAdministration If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource or SHALL refer to the containing resource contained.where((('#'+id in (%resource.descendants().reference | %resource.descendants().as(canonical) | %resource.descendants().as(uri) | %resource.descendants().as(url))) or descendants().where(reference = '#').exists() or descendants().where(as(canonical) = '#').exists() or descendants().where(as(canonical) = '#').exists()).not()).trace('unmatched', id).empty()
dom-4 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
dom-5 error MedicationAdministration If a resource is contained in another resource, it SHALL NOT have a security label contained.meta.security.empty()
dom-6 best practice MedicationAdministration A resource should have narrative for robust management text.`div`.exists()
ele-1 error **ALL** elements All FHIR elements must have a @value or children hasValue() or (children().count() > id.count())
ext-1 error **ALL** extensions Must have either extensions or value[x], not both extension.exists() != value.exists()
mad-1 error MedicationAdministration.dosage SHALL have at least one of dosage.dose or dosage.rate[x] dose.exists() or rate.exists()

This structure is derived from MedicationAdministration

Summary

Mandatory: 8 elements
Must-Support: 22 elements

 

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