{
  "resourceType": "StructureDefinition",
  "id": "profile-DwMedicationAdministration",
  "url": "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedicationAdministration",
  "version": "2.0.0",
  "name": "DwMedicationAdministration",
  "status": "draft",
  "date": "2026-05-29",
  "fhirVersion": "4.0.1",
  "kind": "resource",
  "abstract": false,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration.id",
        "path": "MedicationAdministration.id",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.meta.lastUpdated",
        "path": "MedicationAdministration.meta.lastUpdated",
        "min": 1
      },
      {
        "id": "MedicationAdministration.meta.source",
        "path": "MedicationAdministration.meta.source",
        "min": 1
      },
      {
        "id": "MedicationAdministration.text",
        "path": "MedicationAdministration.text",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.identifier",
        "path": "MedicationAdministration.identifier",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.identifier.system",
        "path": "MedicationAdministration.identifier.system",
        "comment": "CHR: urn:telus:emr:chr:{region}:{accountId}:MedicationAdministration",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.identifier.value",
        "path": "MedicationAdministration.identifier.value",
        "min": 1,
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "comment": "CHR: Status derived from injection archived flag only — completed when active, entered-in-error when archived.\r\n\r\nPSS: Always hardcoded to 'completed' — PSS has no entered-in-error equivalent for this record type.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "ordered": false,
          "rules": "open"
        },
        "comment": "CHR: A display-only medicationReference carries the medication name — no resolvable reference to a Medication resource, no coding. PSS: uses medicationReference.display when a matching medication exists, falling back to medicationCodeableConcept.text otherwise.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationCodeableConcept",
        "comment": "PSS: populated as a fallback only when no matching medication reference is found.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "CodeableConcept"
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationCodeableConcept.text",
        "path": "MedicationAdministration.medication[x].text",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationReference",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationReference",
        "comment": "CHR: Display-only — the medication name, with no resolvable reference to a real Medication resource and no coding. PSS: populated with display name only (no referenced Medication resource) when a matching medication exists.",
        "min": 0,
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwMedication"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationReference.display",
        "path": "MedicationAdministration.medication[x].display",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.subject",
        "path": "MedicationAdministration.subject",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.context",
        "path": "MedicationAdministration.context",
        "comment": "CHR: Populated when the injection is recorded within an open Encounter.",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwEncounter"
            ]
          }
        ],
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitioner",
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPractitionerRole",
              "https://www.telus.com/health/fhir/dwemrextract/StructureDefinition/DwPatient"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.actor.display",
        "path": "MedicationAdministration.performer.actor.display",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.note",
        "path": "MedicationAdministration.note",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.note.author[x]",
        "path": "MedicationAdministration.note.author[x]",
        "comment": "CHR/PSS: Set to the same practitioner (or external-provider display text) recorded as the administering performer, whenever a comment is present.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.note.time",
        "path": "MedicationAdministration.note.time",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage",
        "path": "MedicationAdministration.dosage",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.text",
        "path": "MedicationAdministration.dosage.text",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site",
        "path": "MedicationAdministration.dosage.site",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site.coding",
        "path": "MedicationAdministration.dosage.site.coding",
        "comment": "CHR: Coded using the Infoway Canadian Vaccine Catalogue anatomical site codes, but only for the deltoid, forearm, and gluteal site options; the remaining site options are text-only.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.system",
        "path": "MedicationAdministration.dosage.site.coding.system",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.code",
        "path": "MedicationAdministration.dosage.site.coding.code",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site.coding.display",
        "path": "MedicationAdministration.dosage.site.coding.display",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.site.text",
        "path": "MedicationAdministration.dosage.site.text",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.route.text",
        "path": "MedicationAdministration.dosage.route.text",
        "comment": "CHR: Text only — a coded route value is computed internally but is not carried through to the extracted resource.",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.dose",
        "path": "MedicationAdministration.dosage.dose",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.dose.value",
        "path": "MedicationAdministration.dosage.dose.value",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.dose.unit",
        "path": "MedicationAdministration.dosage.dose.unit",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.dose.system",
        "path": "MedicationAdministration.dosage.dose.system",
        "comment": "CHR: http://unitsofmeasure.org",
        "mustSupport": true
      },
      {
        "id": "MedicationAdministration.dosage.dose.code",
        "path": "MedicationAdministration.dosage.dose.code",
        "mustSupport": true
      }
    ]
  }
}