<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationAdministration" />
  <meta>
    <lastUpdated value="2019-11-01T09:29:23.356+11:00" />
  </meta>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-category">
    <valueString value="Clinical.Medications" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-standards-status">
    <valueCode value="trial-use" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-security-category">
    <valueCode value="patient" />
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="phx" />
  </extension>
  <url value="https://fhir.kemkes.go.id/r4/StructureDefinition/MedicationAdministration" />
  <version value="4.0.1" />
  <name value="MedicationAdministration" />
  <status value="draft" />
  <date value="2022-07-08T15:10:50.6856647+00:00" />
  <publisher value="Health Level Seven International (Pharmacy)" />
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://hl7.org/fhir" />
    </telecom>
  </contact>
  <contact>
    <telecom>
      <system value="url" />
      <value value="http://www.hl7.org/Special/committees/medication/index.cfm" />
    </telecom>
  </contact>
  <description value="Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner." />
  <fhirVersion value="4.0.1" />
  <mapping>
    <identity value="workflow" />
    <uri value="http://hl7.org/fhir/workflow" />
    <name value="Workflow Pattern" />
  </mapping>
  <mapping>
    <identity value="rim" />
    <uri value="http://hl7.org/v3" />
    <name value="RIM Mapping" />
  </mapping>
  <mapping>
    <identity value="w5" />
    <uri value="http://hl7.org/fhir/fivews" />
    <name value="FiveWs Pattern Mapping" />
  </mapping>
  <mapping>
    <identity value="v2" />
    <uri value="http://hl7.org/v2" />
    <name value="HL7 v2 Mapping" />
  </mapping>
  <mapping>
    <identity value="w3c.prov" />
    <uri value="http://www.w3.org/ns/prov" />
    <name value="W3C PROV" />
  </mapping>
  <kind value="resource" />
  <abstract value="false" />
  <type value="MedicationAdministration" />
  <baseDefinition value="http://hl7.org/fhir/StructureDefinition/DomainResource" />
  <derivation value="specialization" />
  <differential>
    <element id="MedicationAdministration">
      <path value="MedicationAdministration" />
      <short value="Administration of medication to a patient" />
      <definition value="Describes the event of a patient consuming or otherwise being administered a medication.  This may be as simple as swallowing a tablet or it may be a long running infusion.  Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner." />
      <mapping>
        <identity value="workflow" />
        <map value="Event" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="SubstanceAdministration" />
      </mapping>
    </element>
    <element id="MedicationAdministration.identifier">
      <path value="MedicationAdministration.identifier" />
      <short value="External identifier" />
      <definition value="Identifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server." />
      <comment value="This is a business identifier, not a resource identifier." />
      <type>
        <code value="Identifier" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Event.identifier" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.identifier" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".id" />
      </mapping>
    </element>
    <element id="MedicationAdministration.instantiates">
      <path value="MedicationAdministration.instantiates" />
      <short value="Instantiates protocol or definition" />
      <definition value="A protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event." />
      <type>
        <code value="uri" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.instantiates" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=DEFN].target[classCode=unspecified]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.partOf">
      <path value="MedicationAdministration.partOf" />
      <short value="Part of referenced event" />
      <definition value="A larger event of which this particular event is a component or step." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.partOf" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=COMP]/target[classCode=SBADM or PROC,moodCode=EVN]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.status">
      <path value="MedicationAdministration.status" />
      <short value="in-progress | not-done | on-hold | completed | entered-in-error | stopped | unknown" />
      <definition value="Will generally be set to show that the administration has been completed.  For some long running administrations such as infusions, it is possible for an administration to be started but not completed or it may be paused while some other process is under way." />
      <comment value="This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="code" />
      </type>
      <isModifier value="true" />
      <isModifierReason value="This element is labelled as a modifier because it is a status element that contains status entered-in-error which means that the resource should not be treated as valid" />
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationStatus" />
        </extension>
        <strength value="required" />
        <description value="A set of codes indicating the current status of a MedicationAdministration." />
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Event.status" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.status" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXA-20-Completion Status" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".statusCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.statusReason">
      <path value="MedicationAdministration.statusReason" />
      <short value="Reason administration not performed" />
      <definition value="A code indicating why the administration was not performed." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationNegationReason" />
        </extension>
        <strength value="example" />
        <description value="A set of codes indicating the reason why the MedicationAdministration is negated." />
        <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Event.statusReason" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXA-9-Administration Notes / RXA-18 Substance/Treatment Refusal Reason" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason not given&quot;].value" />
      </mapping>
    </element>
    <element id="MedicationAdministration.category">
      <path value="MedicationAdministration.category" />
      <short value="Type of medication usage" />
      <definition value="Indicates where the medication is expected to be consumed or administered." />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationCategory" />
        </extension>
        <strength value="preferred" />
        <description value="A coded concept describing where the medication administered is expected to occur." />
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-admin-category" />
      </binding>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=OBS, moodCode=EVN, code=&quot;type of medication usage&quot;].value" />
      </mapping>
    </element>
    <element id="MedicationAdministration.medication[x]">
      <path value="MedicationAdministration.medication[x]" />
      <short value="What was administered" />
      <definition value="Identifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications." />
      <comment value="If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended.  For example, if you require form or lot number, then you must reference the Medication resource." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Medication" />
      </type>
      <isSummary value="true" />
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationCode" />
        </extension>
        <strength value="example" />
        <description value="Codes identifying substance or product that can be administered." />
        <valueSet value="http://hl7.org/fhir/ValueSet/medication-codes" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Event.code" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.what[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXA-5-Administered Code" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=CSM].role[classCode=ADMM]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.subject">
      <path value="MedicationAdministration.subject" />
      <short value="Who received medication" />
      <definition value="The person or animal or group receiving the medication." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.subject" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PID-3-Patient ID List" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=SBJ].role[classCode=PAT]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.subject" />
      </mapping>
    </element>
    <element id="MedicationAdministration.context">
      <path value="MedicationAdministration.context" />
      <short value="Encounter or Episode of Care administered as part of" />
      <definition value="The visit, admission, or other contact between patient and health care provider during which the medication administration was performed." />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Event.context" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.context" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="PV1-19-Visit Number" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[typeCode=COMP].source[classCode=ENC, moodCode=EVN, code=&quot;type of encounter or episode&quot;]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.supportingInformation">
      <path value="MedicationAdministration.supportingInformation" />
      <short value="Additional information to support administration" />
      <definition value="Additional information (for example, patient height and weight) that supports the administration of the medication." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource" />
      </type>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.context" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=PERT].target[A_SupportingClinicalStatement CMET minimal with many different choices of classCodes(ORG, ENC, PROC, SPLY, SBADM, OBS) and each of the act class codes draws from one or more of the following moodCodes (EVN, DEF, INT PRMS, RQO, PRP, APT, ARQ, GOL)]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.effective[x]">
      <path value="MedicationAdministration.effective[x]" />
      <short value="Start and end time of administration" />
      <definition value="A specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="dateTime" />
      </type>
      <type>
        <code value="Period" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.occurrence[x]" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.done[x]" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXA-3-Date/Time Start of Administration / RXA-4-Date/Time End of Administration" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".effectiveTime" />
      </mapping>
    </element>
    <element id="MedicationAdministration.performer">
      <path value="MedicationAdministration.performer" />
      <short value="Who performed the medication administration and what they did" />
      <definition value="Indicates who or what performed the medication administration and how they were involved." />
      <type>
        <code value="BackboneElement" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.performer" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.actor" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation='AP' (RXA-10 is deprecated)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".participation[typeCode=PRF]" />
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.function">
      <path value="MedicationAdministration.performer.function" />
      <short value="Type of performance" />
      <definition value="Distinguishes the type of involvement of the performer in the medication administration." />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationPerformerFunction" />
        </extension>
        <strength value="example" />
        <description value="A code describing the role an individual played in administering the medication." />
        <valueSet value="http://hl7.org/fhir/ValueSet/med-admin-perform-function" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Event.performer.function" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="participation[typeCode=PRF].functionCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.actor">
      <path value="MedicationAdministration.performer.actor" />
      <short value="Who performed the medication administration" />
      <definition value="Indicates who or what performed the medication administration." />
      <min value="1" />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PractitionerRole" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
      </type>
      <isSummary value="true" />
      <mapping>
        <identity value="workflow" />
        <map value="Event.performer.actor" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".role" />
      </mapping>
    </element>
    <element id="MedicationAdministration.reasonCode">
      <path value="MedicationAdministration.reasonCode" />
      <short value="Reason administration performed" />
      <definition value="A code indicating why the medication was given." />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationReason" />
        </extension>
        <strength value="example" />
        <description value="A set of codes indicating the reason why the MedicationAdministration was made." />
        <valueSet value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes" />
      </binding>
      <mapping>
        <identity value="workflow" />
        <map value="Event.reasonCode" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="RXE-27 Give Indication" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".reasonCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.reasonReference">
      <path value="MedicationAdministration.reasonReference" />
      <short value="Condition or observation that supports why the medication was administered" />
      <definition value="Condition or observation that supports why the medication was administered." />
      <comment value="This is a reference to a condition that is the reason for the medication request.  If only a code exists, use reasonCode." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/DiagnosticReport" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Event.reasonReference" />
      </mapping>
      <mapping>
        <identity value="w5" />
        <map value="FiveWs.why[x]" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".outboundRelationship[typeCode=RSON]/target[classCode=OBS,moodCode=EVN, code=&quot;reason for use ASSERTION&quot;].value" />
      </mapping>
      <mapping>
        <identity value="w3c.prov" />
        <map value="no mapping" />
      </mapping>
    </element>
    <element id="MedicationAdministration.request">
      <path value="MedicationAdministration.request" />
      <short value="Request administration performed against" />
      <definition value="The original request, instruction or authority to perform the administration." />
      <comment value="This is a reference to the MedicationRequest  where the intent is either order or instance-order.  It should not reference MedicationRequests where the intent is any other value." />
      <max value="1" />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Event.basedOn" />
      </mapping>
      <mapping>
        <identity value="v2" />
        <map value="ORC-2-Placer Order Number / ORC-3-Filler Order Number" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="InFullfillmentOf-&gt;SubstanceAdministration" />
      </mapping>
    </element>
    <element id="MedicationAdministration.device">
      <path value="MedicationAdministration.device" />
      <short value="Device used to administer" />
      <definition value="The device used in administering the medication to the patient.  For example, a particular infusion pump." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="PRT-10 Participation Device / RXR-3 Administrative Device" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value="device-&gt;Access  OR device-&gt;AssignedDevice" />
      </mapping>
    </element>
    <element id="MedicationAdministration.note">
      <path value="MedicationAdministration.note" />
      <short value="Information about the administration" />
      <definition value="Extra information about the medication administration that is not conveyed by the other attributes." />
      <type>
        <code value="Annotation" />
      </type>
      <mapping>
        <identity value="workflow" />
        <map value="Event.note" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship[typeCode=SUBJ]/source[classCode=OBS,moodCode=EVN,code=&quot;annotation&quot;].value" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage">
      <path value="MedicationAdministration.dosage" />
      <short value="Details of how medication was taken" />
      <definition value="Describes the medication dosage information details e.g. dose, rate, site, route, etc." />
      <max value="1" />
      <type>
        <code value="BackboneElement" />
      </type>
      <constraint>
        <key value="mad-1" />
        <severity value="error" />
        <human value="SHALL have at least one of dosage.dose or dosage.rate[x]" />
        <expression value="dose.exists() or rate.exists()" />
        <xpath value="exists(f:dose) or exists(f:*[starts-with(local-name(.), 'rate')])" />
        <source value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration" />
      </constraint>
      <mapping>
        <identity value="rim" />
        <map value="component-&gt;SubstanceAdministrationEvent" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.text">
      <path value="MedicationAdministration.dosage.text" />
      <short value="Free text dosage instructions e.g. SIG" />
      <definition value="Free text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans.&#xD;&#xD;The dosage instructions should reflect the dosage of the medication that was administered." />
      <max value="1" />
      <type>
        <code value="string" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value=".text" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.site">
      <path value="MedicationAdministration.dosage.site" />
      <short value="Body site administered to" />
      <definition value="A coded specification of the anatomic site where the medication first entered the body.  For example, &quot;left arm&quot;." />
      <comment value="If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension [bodySite](extension-bodysite.html).  May be a summary code, or a reference to a very precise definition of the location, or both." />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationSite" />
        </extension>
        <strength value="example" />
        <description value="A coded concept describing the site location the medicine enters into or onto the body." />
        <valueSet value="http://hl7.org/fhir/ValueSet/approach-site-codes" />
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="RXR-2 Administration Site / RXR-6 Administration Site Modifier" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".approachSiteCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.route">
      <path value="MedicationAdministration.dosage.route" />
      <short value="Path of substance into body" />
      <definition value="A code specifying the route or physiological path of administration of a therapeutic agent into or onto the patient.  For example, topical, intravenous, etc." />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="RouteOfAdministration" />
        </extension>
        <strength value="example" />
        <description value="A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject." />
        <valueSet value="http://hl7.org/fhir/ValueSet/route-codes" />
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="RXR-1-Route" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".routeCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.method">
      <path value="MedicationAdministration.dosage.method" />
      <short value="How drug was administered" />
      <definition value="A coded value indicating the method by which the medication is intended to be or was introduced into or on the body.  This attribute will most often NOT be populated.  It is most commonly used for injections.  For example, Slow Push, Deep IV." />
      <comment value="One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration.  This means the codes used in route or form may pre-coordinate the method in the route code or the form code.  The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may  be used frequently." />
      <max value="1" />
      <type>
        <code value="CodeableConcept" />
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="MedicationAdministrationMethod" />
        </extension>
        <strength value="example" />
        <description value="A coded concept describing the technique by which the medicine is administered." />
        <valueSet value="http://hl7.org/fhir/ValueSet/administration-method-codes" />
      </binding>
      <mapping>
        <identity value="v2" />
        <map value="RXR-4-Administration Method" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".methodCode" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.dose">
      <path value="MedicationAdministration.dosage.dose" />
      <short value="Amount of medication per dose" />
      <definition value="The amount of the medication given at one administration event.   Use this value when the administration is essentially an instantaneous event such as a swallowing a tablet or giving an injection." />
      <comment value="If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration." />
      <max value="1" />
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="RXA-6 Administered Amount / RXA-7 Administered Units" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".doseQuantity" />
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.rate[x]">
      <path value="MedicationAdministration.dosage.rate[x]" />
      <short value="Dose quantity per unit of time" />
      <definition value="Identifies the speed with which the medication was or will be introduced into the patient.  Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr.  May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours.  Other examples:  200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours." />
      <comment value="If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate." />
      <max value="1" />
      <type>
        <code value="Ratio" />
      </type>
      <type>
        <code value="Quantity" />
        <profile value="http://hl7.org/fhir/StructureDefinition/SimpleQuantity" />
      </type>
      <mapping>
        <identity value="v2" />
        <map value="RXA-12-Administered Per (Time Unit)" />
      </mapping>
      <mapping>
        <identity value="rim" />
        <map value=".rateQuantity" />
      </mapping>
    </element>
    <element id="MedicationAdministration.eventHistory">
      <path value="MedicationAdministration.eventHistory" />
      <short value="A list of events of interest in the lifecycle" />
      <definition value="A summary of the events of interest that have occurred, such as when the administration was verified." />
      <comment value="This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject." />
      <type>
        <code value="Reference" />
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Provenance" />
      </type>
      <mapping>
        <identity value="rim" />
        <map value=".inboundRelationship(typeCode=SUBJ].source[classCode=CACT, moodCode=EVN]" />
      </mapping>
    </element>
  </differential>
</StructureDefinition>