{
  "resourceType": "StructureDefinition",
  "meta": {
    "versionId": "12",
    "lastUpdated": "2023-04-04T08:50:07.0406194+00:00"
  },
  "url": "https://medico-emr.net/medico/r4/sd/MedicationAdministration_MedicationAdministration_1",
  "name": "MedicationAdministration_MedicationAdministration_1",
  "status": "active",
  "date": "2019-02-26T14:33:38.2422182Z",
  "description": "Represents a medication being applied or a patient actually consuming a medication",
  "purpose": "Access: Read\r\nVisibility: public",
  "fhirVersion": "4.0.0",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration.id",
        "path": "MedicationAdministration.id",
        "definition": "Format:   MedAdmin-####",
        "min": 1
      },
      {
        "id": "MedicationAdministration.meta",
        "path": "MedicationAdministration.meta",
        "min": 1,
        "type": [
          {
            "code": "Meta",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Meta_ProfileOnly_1"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.meta.lastUpdated",
        "path": "MedicationAdministration.meta.lastUpdated",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.meta.profile",
        "path": "MedicationAdministration.meta.profile",
        "fixedCanonical": "https://medico-emr.net/medico/r4/sd/MedicationAdministration_MedicationAdministration_1"
      },
      {
        "id": "MedicationAdministration.implicitRules",
        "path": "MedicationAdministration.implicitRules",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.language",
        "path": "MedicationAdministration.language",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.text",
        "path": "MedicationAdministration.text",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.contained",
        "path": "MedicationAdministration.contained",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.identifier",
        "path": "MedicationAdministration.identifier",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.identifier:medicoResourceId",
        "path": "MedicationAdministration.identifier",
        "sliceName": "medicoResourceId",
        "min": 1,
        "max": "1",
        "type": [
          {
            "code": "Identifier",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Identifier_medicoResourceId_1"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.identifier:medicoResourceId.system",
        "path": "MedicationAdministration.identifier.system",
        "definition": "Must be a constant underneath https://medico-emr.net/medico/%KUNDE%/sid1/MedAdmin",
        "comment": "see http://en.wikipedia.org/wiki/Uniform_resource_identifier\r\nDynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/sid1/MedAdmin"
      },
      {
        "id": "MedicationAdministration.instantiates",
        "path": "MedicationAdministration.instantiates",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.partOf",
        "path": "MedicationAdministration.partOf",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "definition": "Mapping is as follows from2511adm.status\r\n-99 (\"storniert\")                               -->  \"entered-in-error\"\r\n-5   (\"pausiert\")                               -->  \"stopped\"\r\n-4   (\"interner status\")                     -->  \"stopped\"\r\n-2   (\"verweigert\")                           -->  \"stopped\"\r\n-1   (\"nicht genommen\")                 -->  \"stopped\"\r\n0    (\"geplant\")                                -->   \"in-progress\"\r\n1    (\"gerichtet/gestellt\")                 -->   \"in-progress\"\r\n2    (\"verteilt/ausgeteilt\")                 -->  \"in-progress\"\r\n4    (\"ungeplant verabreicht\")          -->   \"completed\"\r\n5    (\"genommen eigenverantw.\")   --> \"completed\"\r\n6    (\"in Anwesenheit genommen\")  --> \"completed\"\r\n7    (\"verabreicht durch Personal\")   -->  \"completed\""
      },
      {
        "id": "MedicationAdministration.statusReason",
        "path": "MedicationAdministration.statusReason",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.category",
        "path": "MedicationAdministration.category",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ]
        },
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x].extension",
        "path": "MedicationAdministration.medication[x].extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "MedicationAdministration.medication[x].extension:medicationReference",
        "path": "MedicationAdministration.medication[x].extension",
        "sliceName": "medicationReference",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/MedicationAdministration_MedicationReference_1"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ]
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.id",
        "path": "MedicationAdministration.medication[x].id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding",
        "path": "MedicationAdministration.medication[x].coding",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "system"
            }
          ],
          "rules": "open"
        },
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "ATC_encoding",
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.id",
        "path": "MedicationAdministration.medication[x].coding.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://hl7.org/fhir/sid/atc"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.version",
        "path": "MedicationAdministration.medication[x].coding.version",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.code",
        "path": "MedicationAdministration.medication[x].coding.code",
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.display",
        "path": "MedicationAdministration.medication[x].coding.display",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:ATC_encoding.userSelected",
        "path": "MedicationAdministration.medication[x].coding.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "PZN_encoding",
        "definition": "the PZN (\"Pharmazentralnummer\") of a drug, in case of an infusion there might be more than one PZN"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.id",
        "path": "MedicationAdministration.medication[x].coding.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "min": 1,
        "fixedUri": "http://www.ifaffm.de/pzn"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.version",
        "path": "MedicationAdministration.medication[x].coding.version",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.code",
        "path": "MedicationAdministration.medication[x].coding.code",
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.display",
        "path": "MedicationAdministration.medication[x].coding.display",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:PZN_encoding.userSelected",
        "path": "MedicationAdministration.medication[x].coding.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding",
        "path": "MedicationAdministration.medication[x].coding",
        "sliceName": "Form_encoding",
        "definition": "\"Darreichungsform\" - the form in which the medine is present - e.g. a tabs or as drops \r\nthis is not equivalent with the way how the medince is applied - this is defined in dosage.route",
        "min": 1,
        "max": "1"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.id",
        "path": "MedicationAdministration.medication[x].coding.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.system",
        "path": "MedicationAdministration.medication[x].coding.system",
        "definition": "https://medico-emr.net/medico/%KUNDE%/cs/medFormcs1",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/cs/medFormcs1",
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.version",
        "path": "MedicationAdministration.medication[x].coding.version",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.code",
        "path": "MedicationAdministration.medication[x].coding.code",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.display",
        "path": "MedicationAdministration.medication[x].coding.display",
        "min": 1
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.coding:Form_encoding.userSelected",
        "path": "MedicationAdministration.medication[x].coding.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.text",
        "path": "MedicationAdministration.medication[x].text",
        "definition": "The plain text name of the medicine",
        "min": 1
      },
      {
        "id": "MedicationAdministration.subject",
        "path": "MedicationAdministration.subject",
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_SubjectPatient_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Patient_Patient_1"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.context",
        "path": "MedicationAdministration.context",
        "min": 1,
        "type": [
          {
            "code": "Reference",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/Reference_ContextEncounter_1"
            ],
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Encounter_Case_1"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.supportingInformation",
        "path": "MedicationAdministration.supportingInformation",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ]
        }
      },
      {
        "id": "MedicationAdministration.effective[x]:effectiveDateTime",
        "path": "MedicationAdministration.effective[x]",
        "sliceName": "effectiveDateTime",
        "type": [
          {
            "code": "dateTime"
          }
        ]
      },
      {
        "id": "MedicationAdministration.effective[x]:effectiveDateTime.id",
        "path": "MedicationAdministration.effective[x].id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "max": "1"
      },
      {
        "id": "MedicationAdministration.performer.id",
        "path": "MedicationAdministration.performer.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.function",
        "path": "MedicationAdministration.performer.function",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "definition": "The practitioner who performed the action. In medico this maps to the user.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://medico-emr.net/medico/r4/sd/Practitioner_User_1"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.actor.id",
        "path": "MedicationAdministration.performer.actor.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.actor.reference",
        "path": "MedicationAdministration.performer.actor.reference",
        "definition": "a relative reference like Practitioner/User-#####\r\nwhere ###### is x9102usr.usr",
        "min": 1
      },
      {
        "id": "MedicationAdministration.performer.actor.identifier",
        "path": "MedicationAdministration.performer.actor.identifier",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.performer.actor.display",
        "path": "MedicationAdministration.performer.actor.display",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.reasonCode",
        "path": "MedicationAdministration.reasonCode",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.reasonReference",
        "path": "MedicationAdministration.reasonReference",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.request",
        "path": "MedicationAdministration.request",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.device",
        "path": "MedicationAdministration.device",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.note",
        "path": "MedicationAdministration.note",
        "max": "1"
      },
      {
        "id": "MedicationAdministration.note.id",
        "path": "MedicationAdministration.note.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.note.author[x]",
        "path": "MedicationAdministration.note.author[x]",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.note.time",
        "path": "MedicationAdministration.note.time",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.note.text",
        "path": "MedicationAdministration.note.text",
        "definition": "the comment for the medication administration"
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage",
        "min": 1
      },
      {
        "id": "MedicationAdministration.dosage.id",
        "path": "MedicationAdministration.dosage.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.extension",
        "path": "MedicationAdministration.dosage.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "MedicationAdministration.dosage.extension:asNeeded",
        "path": "MedicationAdministration.dosage.extension",
        "sliceName": "asNeeded",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Extension",
            "profile": [
              "https://medico-emr.net/medico/r4/sd/ext/MedicationAdministration_Dosage_AsNeeded_1"
            ]
          }
        ],
        "isModifier": false
      },
      {
        "id": "MedicationAdministration.dosage.text",
        "path": "MedicationAdministration.dosage.text",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.site",
        "path": "MedicationAdministration.dosage.site",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "definition": "The way how the medine is applied - e.g. \"oral\" for Tabs - or as an infusion etc.\r\nA code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc.",
        "min": 1
      },
      {
        "id": "MedicationAdministration.dosage.route.id",
        "path": "MedicationAdministration.dosage.route.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding",
        "path": "MedicationAdministration.dosage.route.coding",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.id",
        "path": "MedicationAdministration.dosage.route.coding.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.system",
        "path": "MedicationAdministration.dosage.route.coding.system",
        "definition": "https://medico-emr.net/medico/%KUNDE%/cs/medRoutecs1",
        "comment": "Dynamically resolved for validation\r\n--FixedValue=https://medico-emr.net/medico/%KUNDE%/cs/medRoutecs1"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.version",
        "path": "MedicationAdministration.dosage.route.coding.version",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route.coding.userSelected",
        "path": "MedicationAdministration.dosage.route.coding.userSelected",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.route.text",
        "path": "MedicationAdministration.dosage.route.text",
        "definition": "medico route of administration in plain text"
      },
      {
        "id": "MedicationAdministration.dosage.method",
        "path": "MedicationAdministration.dosage.method",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.dose",
        "path": "MedicationAdministration.dosage.dose",
        "min": 1
      },
      {
        "id": "MedicationAdministration.dosage.dose.id",
        "path": "MedicationAdministration.dosage.dose.id",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.dose.value",
        "path": "MedicationAdministration.dosage.dose.value",
        "min": 1
      },
      {
        "id": "MedicationAdministration.dosage.dose.unit",
        "path": "MedicationAdministration.dosage.dose.unit",
        "min": 1
      },
      {
        "id": "MedicationAdministration.dosage.dose.system",
        "path": "MedicationAdministration.dosage.dose.system",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.dosage.dose.code",
        "path": "MedicationAdministration.dosage.dose.code",
        "max": "0"
      },
      {
        "id": "MedicationAdministration.eventHistory",
        "path": "MedicationAdministration.eventHistory",
        "max": "0"
      }
    ]
  }
}