MedicationAdministration

Diese MedicationAdministration-Ressource wird verwendet, um Medikamentenverabreichungen, einschließlich der Selbstverabreichung von oralen Medikamenten, Injektionen, intravenösen Gaben usw. zu erfassen.

Canonical: https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration

Differential

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
instantiatesΣ0..*uri
partOfS Σ I0..*Reference(MedicationAdministration | Procedure)
statusS Σ ?!1..1codeBinding
statusReason0..*CodeableConcept
category0..1CodeableConceptBinding
medicationCodeableConceptCodeableConcept
medicationReferenceReference(Medication)
subjectS Σ I1..1MII-Reference(Patient | Group)
contextS I0..1Reference(Encounter | EpisodeOfCare)
supportingInformationI0..*Reference(Resource)
effectiveDateTimedateTime
effectivePeriodPeriod
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
function0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)
reasonCode0..*CodeableConcept
reasonReferenceS I0..*Reference(Condition | Observation | DiagnosticReport)
requestI0..1Reference(MedicationRequest)
deviceI0..*Reference(Device)
note0..*Annotation
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
text0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
method0..1CodeableConcept
doseS I0..1SimpleQuantity
rateRatioRatio
rateQuantitySimpleQuantity
eventHistoryI0..*Reference(Provenance)



Snapshot

idS Σ0..1string
id0..1string
extensionI0..*Extension
versionIdΣ0..1id
lastUpdatedΣ0..1instant
sourceS Σ0..1uri
profileS Σ0..*canonical(StructureDefinition)
securityΣ0..*CodingBinding
tagΣ0..*Coding
implicitRulesΣ ?!0..1uri
language0..1codeBinding
text0..1Narrative
contained0..*Resource
extensionI0..*Extension
modifierExtension?! I0..*Extension
identifier0..*Identifier
instantiatesΣ0..*uri
partOfS Σ I0..*Reference(MedicationAdministration | Procedure)
statusS Σ ?!1..1codeBinding
statusReason0..*CodeableConcept
category0..1CodeableConceptBinding
medicationCodeableConceptCodeableConcept
medicationReferenceReference(Medication)
subjectS Σ I1..1MII-Reference(Patient | Group)
contextS I0..1Reference(Encounter | EpisodeOfCare)
supportingInformationI0..*Reference(Resource)
effectiveDateTimedateTime
effectivePeriodPeriod
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
function0..1CodeableConcept
actorΣ I1..1Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device)
reasonCode0..*CodeableConcept
reasonReferenceS I0..*Reference(Condition | Observation | DiagnosticReport)
requestI0..1Reference(MedicationRequest)
deviceI0..*Reference(Device)
note0..*Annotation
id0..1string
extensionI0..*Extension
modifierExtensionΣ ?! I0..*Extension
text0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
id0..1string
extensionI0..*Extension
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
id0..1string
extensionI0..*Extension
systemS Σ1..1uriPattern
versionΣ0..1string
codeS Σ1..1code
displayΣ0..1string
userSelectedΣ0..1boolean
textΣ0..1string
method0..1CodeableConcept
doseS I0..1SimpleQuantity
rateRatioRatio
rateQuantitySimpleQuantity
eventHistoryI0..*Reference(Provenance)


FHIR-Element Erklärung
MedicationAdministration.id Must-support, jedoch optional
MedicationAdministration.meta Must-support, jedoch optional
MedicationAdministration.identifier Business-Identifier der Medikationsverabreichung
MedicationAdministration.instantiates Externes Protokoll oder Guideline, welche befolgt werden
MedicationAdministration.partOf Referenz zu Ereignis in dessen Rahmen die Verabreichung erfolgt
MedicationAdministration.status Status der Verabreichung, bspw. im Gange oder abgeschlossen
MedicationAdministration.statusReason Angabe, warum Medikation nicht verabreicht wurde.
MedicationAdministration.category Indikator für Verabreichung im stationären oder ambulanten Bereich
MedicationAdministration.medication[x] Referenz auf das zu verabreichende Arzneimittel
MedicationAdministration.subject Empfänger der Medikation
MedicationAdministration.context Bezug zu Ereignis in welchem die Verabreichung erfolgt
MedicationAdministration.supportingInformation Weitere Informationen zu der Verabreichung
MedicationAdministration.effective[x] Zeitpunkt oder Periode der Verabreichung
MedicationAdministration.performer Durchführende Person
MedicationAdministration.reasonCode Grund für die Verabreichung
MedicationAdministration.reasonReference Referenz zu FHIR-Ressource als Grund hinter der Verabreichung
MedicationAdministration.request Referenz zu Anforderung
MedicationAdministration.device Gerät, welches zur Verabreichung genutzt wird
MedicationAdministration.note Notiz zur Verabreichung
MedicationAdministration.dosage Angaben, wie die Medikation verabreicht wurde
MedicationAdministration.eventHistory Referenz zu Ereignissen, die für die Verabreichung von Interesse sein können

FHIR-Element Logischer Datensatz
MedicationAdministration.identifier Medikation.Medikationseintrag.Identifikation
MedicationAdministration.status Medikation.Medikationseintrag.Status
MedicationAdministration.medication[x] Medikation.Medikationseintrag.Arzneimittel/Wirkstoff/Rezeptur
MedicationAdministration.effective[x] Medikation.Medikationseintrag.Einnahmedauer
MedicationAdministration.dosage.text Medikation.Medikationseintrag.Dosierung (Freitext)
MedicationAdministration.dosage Medikation.Medikationseintrag.Dosierung (strukturiert)
MedicationAdministration.note Medikation.Medikationseintrag.Hinweis
MedicationAdministration.reasonCode Medikation.Medikationseintrag.Behandlungsgrund
MedicationAdministration.reasonReference Medikation.Medikationseintrag.Behandlungsgrund
MedicationAdmnistration.request Medikation.Medikationseintrag.Bezug zu Verordnung
MedicationAdministration.dateAsserted Medikation.Medikationseintrag.Datum des Eintrags

Beispiele

Beispiel einer MedicationAdministration-Ressource mit Angaben zum Applikationsweg und der Dosierung

{
    "resourceType": "MedicationAdministration",
    "id": "mii-exa-medikation-medication-administration",
    "meta": {
        "profile":  [
            "https://www.medizininformatik-initiative.de/fhir/core/modul-medikation/StructureDefinition/MedicationAdministration"
        ]
    },
    "dosage": {
        "dose": {
            "system": "http://unitsofmeasure.org",
            "value": 85,
            "code": "mg",
            "unit": "mg"
        },
        "rateRatio": {
            "denominator": {
                "system": "http://unitsofmeasure.org",
                "value": 1,
                "code": "h",
                "unit": "hour"
            },
            "numerator": {
                "system": "http://unitsofmeasure.org",
                "value": 250,
                "code": "mL",
                "unit": "milliliter"
            }
        },
        "route": {
            "coding":  [
                {
                    "code": "20045000",
                    "system": "http://standardterms.edqm.eu",
                    "display": "Intravenous use"
                }
            ]
        }
    },
    "effectivePeriod": {
        "end": "2020-01-06T11:20:00.000+00:00",
        "start": "2020-01-06T10:20:00.000+00:00"
    },
    "medicationReference": {
        "reference": "Medication/mii-exa-medikation-medication-rezeptur"
    },
    "status": "completed",
    "subject": {
        "reference": "Patient/example"
    }
}