PanCareSurPass Project HL7 FHIR Implementation Guide
0.1.0 - trial-use 150

This page is part of the PanCareSurPass Project HL7 FHIR Implementation Guide (v0.1.0: QA Preview) based on FHIR R4. This is the current published version. For a full list of available versions, see the Directory of published versions

Resource Profile: MedicationAdministration: Chemotherapy

Official URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/MedicationAdministration-eu-pcsp Version: 0.1.0
Active as of 2023-01-26 Computable Name: MedicationAdministrationPcsp

This profile defines how to represent MedicationAdministration in HL7 FHIR for describing Chemotherapy data for the purpose of the PanCareSurPass project.

Usage:

Formal Views of Profile Content

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

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
... location 0..1Reference(Location)Act Location
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
.... valueReference 0..1Reference(Location: PCSP)Value of extension
... medicationCodeableConcept S1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject 1..1Reference(Patient: PCSP)Who received medication
... effective[x] 1..1dateTime, PeriodWhen the chemotherapy was administered
Slice: Unordered, Open by type:$this
... effectivePeriod S0..1PeriodStart and end time of administration
... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... dosage
.... dose 0..1SimpleQuantityAmount per dose
..... value S1..1decimalNumerical value (with implicit precision)
..... unit S0..1stringUnit representation
..... system S1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S1..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationAdministration.medicationCodeableConceptextensibleVsPcspAtcCodes
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
.... Slices for value[x] 0..1Reference(Resource)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
.... Slices for value[x] 0..1Reference(Location)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Location: PCSP)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codein-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.

... Slices for medication[x] Σ1..1CodeableConceptWhat was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medication[x]:medicationCodeableConcept SΣ1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject Σ1..1Reference(Patient: PCSP)Who received medication
... Slices for effective[x] Σ1..1When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectivePeriod SΣ0..1PeriodStart and end time of administration
... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... dosage C0..1BackboneElementDetails of how medication was taken
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... dose 0..1SimpleQuantityAmount per dose
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit SΣ0..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleVsPcspAtcCodes
NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
.... Slices for value[x] 0..1Reference(Resource)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
... location 0..1Reference(Location)Act Location
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
.... Slices for value[x] 0..1Reference(Location)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Location: PCSP)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... instantiates Σ0..*uriInstantiates protocol or definition
... partOf Σ0..*Reference(MedicationAdministration | Procedure)Part of referenced event
... status ?!SΣ1..1codein-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

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


... category 0..1CodeableConceptType of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... Slices for medication[x] Σ1..1CodeableConceptWhat was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medication[x]:medicationCodeableConcept SΣ1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject Σ1..1Reference(Patient: PCSP)Who received medication
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter or Episode of Care administered as part of
... supportingInformation 0..*Reference(Resource)Additional information to support administration
... Slices for effective[x] Σ1..1When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectivePeriod SΣ0..1PeriodStart and end time of administration
... performer Σ0..*BackboneElementWho performed the medication administration and what they did
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptType of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Who performed the medication administration
... reasonCode 0..*CodeableConceptReason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest)Request administration performed against
... device 0..*Reference(Device)Device used to administer
... note 0..*AnnotationInformation about the administration
... dosage C0..1BackboneElementDetails of how medication was taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text 0..1stringFree text dosage instructions e.g. SIG
.... site 0..1CodeableConceptBody site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1CodeableConceptPath 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..1CodeableConceptHow drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... dose 0..1SimpleQuantityAmount per dose
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit SΣ0..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit
.... rate[x] 0..1Dose quantity per unit of time
..... rateRatioRatio
..... rateQuantityQuantity(SimpleQuantity)
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleVsPcspAtcCodes
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.routeexampleSNOMEDCTRouteCodes
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes

This structure is derived from MedicationAdministration

Differential View

This structure is derived from MedicationAdministration

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
... location 0..1Reference(Location)Act Location
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
.... valueReference 0..1Reference(Location: PCSP)Value of extension
... medicationCodeableConcept S1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject 1..1Reference(Patient: PCSP)Who received medication
... effective[x] 1..1dateTime, PeriodWhen the chemotherapy was administered
Slice: Unordered, Open by type:$this
... effectivePeriod S0..1PeriodStart and end time of administration
... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... dosage
.... dose 0..1SimpleQuantityAmount per dose
..... value S1..1decimalNumerical value (with implicit precision)
..... unit S0..1stringUnit representation
..... system S1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code S1..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings (Differential)

PathConformanceValueSet
MedicationAdministration.medicationCodeableConceptextensibleVsPcspAtcCodes

Key Elements View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
.... Slices for value[x] 0..1Reference(Resource)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
.... Slices for value[x] 0..1Reference(Location)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Location: PCSP)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... status ?!SΣ1..1codein-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.

... Slices for medication[x] Σ1..1CodeableConceptWhat was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medication[x]:medicationCodeableConcept SΣ1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject Σ1..1Reference(Patient: PCSP)Who received medication
... Slices for effective[x] Σ1..1When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectivePeriod SΣ0..1PeriodStart and end time of administration
... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... dosage C0..1BackboneElementDetails of how medication was taken
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... dose 0..1SimpleQuantityAmount per dose
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit SΣ0..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleVsPcspAtcCodes

Snapshot View

NameFlagsCard.TypeDescription & Constraintsdoco
.. MedicationAdministration 0..*MedicationAdministrationAdministration of medication to a patient
... id Σ0..1idLogical id of this artifact
... meta Σ0..1MetaMetadata about the resource
... implicitRules ?!Σ0..1uriA set of rules under which this content was created
... language 0..1codeLanguage of the resource content
Binding: CommonLanguages (preferred): A human language.

Additional BindingsPurpose
AllLanguagesMax Binding
... text 0..1NarrativeText summary of the resource, for human interpretation
... contained 0..*ResourceContained, inline Resources
... Slices for extension 0..*ExtensionExtension
Slice: Unordered, Open by value:url
... relatedCumulativeDose 0..1Reference(Resource)Resource related information
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/resource-relatedInfo"
.... Slices for value[x] 0..1Reference(Resource)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Observation: Chemotherapy Cumulative Dose)Value of extension
... location 0..1Reference(Location)Act Location
URL: http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..0
.... url 1..1uri"http://hl7.eu/fhir/ig/pcsp/StructureDefinition/event-location"
.... Slices for value[x] 0..1Reference(Location)Value of extension
Slice: Unordered, Closed by type:$this
..... value[x]:valueReference 0..1Reference(Location: PCSP)Value of extension
... modifierExtension ?!0..*ExtensionExtensions that cannot be ignored
... identifier 0..*IdentifierExternal identifier
... instantiates Σ0..*uriInstantiates protocol or definition
... partOf Σ0..*Reference(MedicationAdministration | Procedure)Part of referenced event
... status ?!SΣ1..1codein-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown
Binding: MedicationAdministration Status Codes (required): A set of codes indicating the current status of a MedicationAdministration.

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


... category 0..1CodeableConceptType of medication usage
Binding: MedicationAdministration Category Codes (preferred): A coded concept describing where the medication administered is expected to occur.

... Slices for medication[x] Σ1..1CodeableConceptWhat was administered
Slice: Unordered, Closed by type:$this
Binding: SNOMEDCTMedicationCodes (example): Codes identifying substance or product that can be administered.

.... medication[x]:medicationCodeableConcept SΣ1..1CodeableConceptWhat was administered
Binding: Antineoplastic and immunostimulating agents (extensible)
... subject Σ1..1Reference(Patient: PCSP)Who received medication
... context 0..1Reference(Encounter | EpisodeOfCare)Encounter or Episode of Care administered as part of
... supportingInformation 0..*Reference(Resource)Additional information to support administration
... Slices for effective[x] Σ1..1When the chemotherapy was administered
Slice: Unordered, Open by type:$this
.... effectiveDateTimedateTime
.... effectivePeriodPeriod
.... effective[x]:effectivePeriod SΣ0..1PeriodStart and end time of administration
... performer Σ0..*BackboneElementWho performed the medication administration and what they did
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... function 0..1CodeableConceptType of performance
Binding: MedicationAdministration Performer Function Codes (example): A code describing the role an individual played in administering the medication.

.... actor Σ1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)Who performed the medication administration
... reasonCode 0..*CodeableConceptReason administration performed
Binding: ReasonMedicationGivenCodes (example): A set of codes indicating the reason why the MedicationAdministration was made.


... reasonReference 1..1Reference(Condition: Primary Cancer)Condition or observation that supports why the medication was administered
... request 0..1Reference(MedicationRequest)Request administration performed against
... device 0..*Reference(Device)Device used to administer
... note 0..*AnnotationInformation about the administration
... dosage C0..1BackboneElementDetails of how medication was taken
.... id 0..1stringUnique id for inter-element referencing
.... extension 0..*ExtensionAdditional content defined by implementations
.... modifierExtension ?!Σ0..*ExtensionExtensions that cannot be ignored even if unrecognized
.... text 0..1stringFree text dosage instructions e.g. SIG
.... site 0..1CodeableConceptBody site administered to
Binding: SNOMEDCTAnatomicalStructureForAdministrationSiteCodes (example): A coded concept describing the site location the medicine enters into or onto the body.

.... route 0..1CodeableConceptPath 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..1CodeableConceptHow drug was administered
Binding: SNOMEDCTAdministrationMethodCodes (example): A coded concept describing the technique by which the medicine is administered.

.... dose 0..1SimpleQuantityAmount per dose
..... id 0..1stringUnique id for inter-element referencing
..... extension 0..*ExtensionAdditional content defined by implementations
Slice: Unordered, Open by value:url
..... value SΣ1..1decimalNumerical value (with implicit precision)
..... unit SΣ0..1stringUnit representation
..... system SΣC1..1uriSystem that defines coded unit form
Required Pattern: http://unitsofmeasure.org
..... code SΣ1..1codeCoded form of the unit
.... rate[x] 0..1Dose quantity per unit of time
..... rateRatioRatio
..... rateQuantityQuantity(SimpleQuantity)
... eventHistory 0..*Reference(Provenance)A list of events of interest in the lifecycle

doco Documentation for this format

Terminology Bindings

PathConformanceValueSet
MedicationAdministration.languagepreferredCommonLanguages
Additional Bindings Purpose
AllLanguages Max Binding
MedicationAdministration.statusrequiredMedicationAdministration Status Codes
MedicationAdministration.statusReasonexampleSNOMEDCTReasonMedicationNotGivenCodes
MedicationAdministration.categorypreferredMedicationAdministration Category Codes
MedicationAdministration.medication[x]exampleSNOMEDCTMedicationCodes
MedicationAdministration.medication[x]:medicationCodeableConceptextensibleVsPcspAtcCodes
MedicationAdministration.performer.functionexampleMedicationAdministration Performer Function Codes
MedicationAdministration.reasonCodeexampleReasonMedicationGivenCodes
MedicationAdministration.dosage.siteexampleSNOMEDCTAnatomicalStructureForAdministrationSiteCodes
MedicationAdministration.dosage.routeexampleSNOMEDCTRouteCodes
MedicationAdministration.dosage.methodexampleSNOMEDCTAdministrationMethodCodes

This structure is derived from MedicationAdministration

 

Other representations of profile: CSV, Excel, Schematron