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Resource "MedicationAdministration" Version "1" (StructureDefinition)

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XML or JSON representation. Try out the Profile as a questionnaire based web form . Edit this as XML or JSON. provenance for this resource

Generated Narrative with Details

id: MedicationAdministration

meta:

url: http://hl7.org/fhir/StructureDefinition/MedicationAdministration

name: MedicationAdministration

status: draft

date: 10/24/2019 11:53:00 AM

publisher: Health Level Seven International (Pharmacy)

contact: ,

description: Base StructureDefinition for MedicationAdministration Resource

fhirVersion: 3.0.2

kind: resource

abstract: false

type: MedicationAdministration

baseDefinition: http://hl7.org/fhir/StructureDefinition/DomainResource

derivation: specialization


<?xml version="1.0" encoding="UTF-8"?>
<StructureDefinition xmlns="http://hl7.org/fhir">
  <id value="MedicationAdministration"/>
  <meta>
    <versionId value="1"/>
    <lastUpdated value="2020-11-06T21:34:27.767Z"/>
  </meta>
  <text>
    <status value="generated"/>
    <div xmlns="http://www.w3.org/1999/xhtml">
      <p>
        <b>Generated Narrative with Details</b>
      </p>
      <p>
        <b>id</b>: MedicationAdministration</p>
      <p>
        <b>meta</b>: </p>
      <p>
        <b>url</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/MedicationAdministration">http://hl7.org/fhir/StructureDefinition/MedicationAdministration</a>
      </p>
      <p>
        <b>name</b>: MedicationAdministration</p>
      <p>
        <b>status</b>: draft</p>
      <p>
        <b>date</b>: 10/24/2019 11:53:00 AM</p>
      <p>
        <b>publisher</b>: Health Level Seven International (Pharmacy)</p>
      <p>
        <b>contact</b>: , </p>
      <p>
        <b>description</b>: Base StructureDefinition for MedicationAdministration Resource</p>
      <p>
        <b>fhirVersion</b>: 3.0.2</p>
      <p>
        <b>kind</b>: resource</p>
      <p>
        <b>abstract</b>: false</p>
      <p>
        <b>type</b>: MedicationAdministration</p>
      <p>
        <b>baseDefinition</b>:
        <a href="http://hl7.org/fhir/StructureDefinition/DomainResource">http://hl7.org/fhir/StructureDefinition/DomainResource</a>
      </p>
      <p>
        <b>derivation</b>: specialization</p>
    </div>
  </text>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-fmm">
    <valueInteger value="2"/>
  </extension>
  <extension url="http://hl7.org/fhir/StructureDefinition/structuredefinition-wg">
    <valueCode value="phx"/>
  </extension>
  <url value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
  <name value="MedicationAdministration"/>
  <status value="draft"/>
  <date value="2019-10-24T11:53:00+11:00"/>
  <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="Base StructureDefinition for MedicationAdministration Resource"/>
  <fhirVersion value="3.0.2"/>
  <mapping>
    <identity value="workflow"/>
    <uri value="http://hl7.org/fhir/workflow"/>
    <name value="Workflow Mapping"/>
  </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/w5"/>
    <name value="W5 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"/>
  <snapshot>
    <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."/>
      <comment value="The WG will be updating the MedicationAdministration resource to adjust each affected resource to align with the workflow pattern (see workflow.html)."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="dom-2"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain nested Resources"/>
        <expression value="contained.contained.empty()"/>
        <xpath value="not(parent::f:contained and f:contained)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-1"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL NOT contain any narrative"/>
        <expression value="contained.text.empty()"/>
        <xpath value="not(parent::f:contained and f:text)"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-4"/>
        <severity value="error"/>
        <human value="If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated"/>
        <expression value="contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()"/>
        <xpath value="not(exists(f:contained/*/f:meta/f:versionId)) and not(exists(f:contained/*/f:meta/f:lastUpdated))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="dom-3"/>
        <severity value="error"/>
        <human value="If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource"/>
        <expression value="contained.where((&apos;#&apos;+id in %resource.descendants().reference).not()).empty()"/>
        <xpath value="not(exists(for $id in f:contained/*/@id return $id[not(ancestor::f:contained/parent::*/descendant::f:reference/@value=concat(&apos;#&apos;, $id))]))"/>
        <source value="DomainResource"/>
      </constraint>
      <constraint>
        <key value="mad-2"/>
        <severity value="error"/>
        <human value="Reason not given is only permitted if NotGiven is true"/>
        <expression value="reasonNotGiven.empty() or notGiven = true"/>
        <xpath value="not(exists(f:reasonNotGiven) and f:notGiven/@value=false())"/>
      </constraint>
      <constraint>
        <key value="mad-3"/>
        <severity value="error"/>
        <human value="Reason given is only permitted if NotGiven is false"/>
        <expression value="reasonCode.empty() or notGiven.empty() or notGiven = &apos;false&apos;"/>
        <xpath value="not(exists(f:reasonCode) and f:notGiven/@value=true())"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="Entity. Role, or Act"/>
      </mapping>
      <mapping>
        <identity value="workflow"/>
        <map value="..Event"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.id">
      <path value="MedicationAdministration.id"/>
      <short value="Logical id of this artifact"/>
      <definition value="The logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes."/>
      <comment value="The only time that a resource does not have an id is when it is being submitted to the server using a create operation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="id"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="MedicationAdministration.meta">
      <path value="MedicationAdministration.meta"/>
      <short value="Metadata about the resource"/>
      <definition value="The metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content may not always be associated with version changes to the resource."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.meta"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Meta"/>
      </type>
      <isSummary value="true"/>
    </element>
    <element id="MedicationAdministration.implicitRules">
      <path value="MedicationAdministration.implicitRules"/>
      <short value="A set of rules under which this content was created"/>
      <definition value="A reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content."/>
      <comment value="Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. &#10;&#10;This element is labelled as a modifier because the implicit rules may provide additional knowledge about the resource that modifies it&apos;s meaning or interpretation."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.implicitRules"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="uri"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
    </element>
    <element id="MedicationAdministration.language">
      <path value="MedicationAdministration.language"/>
      <short value="Language of the resource content"/>
      <definition value="The base language in which the resource is written."/>
      <comment value="Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute)."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Resource.language"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="code"/>
      </type>
      <binding>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-maxValueSet">
          <valueReference>
            <reference value="http://hl7.org/fhir/ValueSet/all-languages"/>
          </valueReference>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName">
          <valueString value="Language"/>
        </extension>
        <extension url="http://hl7.org/fhir/StructureDefinition/elementdefinition-isCommonBinding">
          <valueBoolean value="true"/>
        </extension>
        <strength value="extensible"/>
        <description value="A human language."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/languages"/>
        </valueSetReference>
      </binding>
    </element>
    <element id="MedicationAdministration.text">
      <path value="MedicationAdministration.text"/>
      <short value="Text summary of the resource, for human interpretation"/>
      <definition value="A human-readable narrative that contains a summary of the resource, and may be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it &quot;clinically safe&quot; for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety."/>
      <comment value="Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a &quot;text blob&quot; or where text is additionally entered raw or narrated and encoded in formation is added later."/>
      <alias value="narrative"/>
      <alias value="html"/>
      <alias value="xhtml"/>
      <alias value="display"/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="DomainResource.text"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="Narrative"/>
      </type>
      <condition value="dom-1"/>
      <mapping>
        <identity value="rim"/>
        <map value="Act.text?"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.contained">
      <path value="MedicationAdministration.contained"/>
      <short value="Contained, inline Resources"/>
      <definition value="These resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope."/>
      <comment value="This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again."/>
      <alias value="inline resources"/>
      <alias value="anonymous resources"/>
      <alias value="contained resources"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.contained"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Resource"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.extension">
      <path value="MedicationAdministration.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.modifierExtension">
      <path value="MedicationAdministration.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the resource, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="DomainResource.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.identifier">
      <path value="MedicationAdministration.identifier"/>
      <short value="External identifier"/>
      <definition value="External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource. The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated an administration while the patient was off the ward might be made with a different system and entered after the event. Particularly important if these records have to be updated."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;identifier"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.definition">
      <path value="MedicationAdministration.definition"/>
      <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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;definition"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;part of"/>
      </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 | 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"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.category">
      <path value="MedicationAdministration.category"/>
      <short value="Type of medication usage"/>
      <definition value="Indicates the type of medication administration and where the medication is expected to be consumed or administered."/>
      <min value="0"/>
      <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"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-category"/>
        </valueSetReference>
      </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.&#xA0; For example if&#xA0;you require&#xA0;form or&#xA0;lot number, then you must&#xA0;reference the Medication resource.&#xA0;."/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;code"/>
      </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>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </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"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;subject"/>
      </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="who.focus"/>
      </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 the medication administration was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <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>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </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 &apos;notGiven&apos; 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="&#x2026;occurrence[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>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer">
      <path value="MedicationAdministration.performer"/>
      <short value="Who administered substance"/>
      <definition value="The individual who was responsible for giving the medication to the patient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;performer"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation=&apos;AP&apos; (RXA-10 is deprecated)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.id">
      <path value="MedicationAdministration.performer.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.extension">
      <path value="MedicationAdministration.performer.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.modifierExtension">
      <path value="MedicationAdministration.performer.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.actor">
      <path value="MedicationAdministration.performer.actor"/>
      <short value="Individual who was performing"/>
      <definition value="The device, practitioner, etc. who performed the action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;.actor"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.onBehalfOf">
      <path value="MedicationAdministration.performer.onBehalfOf"/>
      <short value="Organization organization was acting for"/>
      <definition value="The organization the device or practitioner was acting on behalf of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;.onBehalfOf"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role.scopingOrganization"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.notGiven">
      <path value="MedicationAdministration.notGiven"/>
      <short value="True if medication not administered"/>
      <definition value="Set this to true if the record is saying that the medication was NOT administered."/>
      <comment value="This element is labeled as a modifier because it indicates that a administration didn&apos;t happen."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <meaningWhenMissing value="If this is missing, then the medication was administered"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;notDone"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status=&apos;NA&apos;"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".actionNegationInd"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.reasonNotGiven">
      <path value="MedicationAdministration.reasonNotGiven"/>
      <short value="Reason administration not performed"/>
      <definition value="A code indicating why the administration was not performed."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-2"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;notDoneReason"/>
      </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.reasonCode">
      <path value="MedicationAdministration.reasonCode"/>
      <short value="Reason administration performed"/>
      <definition value="A code indicating why the medication was given."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-3"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;reasonGivenCodeableConcept"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;reasonReference"/>
      </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>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.prescription">
      <path value="MedicationAdministration.prescription"/>
      <short value="Request administration performed against"/>
      <definition value="The original request, instruction or authority to perform the administration."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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."/>
      <min value="0"/>
      <max value="*"/>
      <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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <constraint>
        <key value="ele-1"/>
        <severity value="error"/>
        <human value="All FHIR elements must have a @value or children"/>
        <expression value="hasValue() | (children().count() &gt; id.count())"/>
        <xpath value="@value|f:*|h:div"/>
        <source value="Element"/>
      </constraint>
      <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(.), &apos;rate&apos;)])"/>
      </constraint>
      <mapping>
        <identity value="rim"/>
        <map value="component-&gt;SubstanceAdministrationEvent"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.id">
      <path value="MedicationAdministration.dosage.id"/>
      <representation value="xmlAttr"/>
      <short value="xml:id (or equivalent in JSON)"/>
      <definition value="unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces."/>
      <min value="0"/>
      <max value="1"/>
      <base>
        <path value="Element.id"/>
        <min value="0"/>
        <max value="1"/>
      </base>
      <type>
        <code value="string"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.extension">
      <path value="MedicationAdministration.dosage.extension"/>
      <short value="Additional Content defined by implementations"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="Element.extension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <mapping>
        <identity value="rim"/>
        <map value="n/a"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.dosage.modifierExtension">
      <path value="MedicationAdministration.dosage.modifierExtension"/>
      <short value="Extensions that cannot be ignored"/>
      <definition value="May be used to represent additional information that is not part of the basic definition of the element, and that modifies the understanding of the element that contains it. Usually modifier elements provide negation or qualification. In order to make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions."/>
      <comment value="There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone."/>
      <alias value="extensions"/>
      <alias value="user content"/>
      <alias value="modifiers"/>
      <min value="0"/>
      <max value="*"/>
      <base>
        <path value="BackboneElement.modifierExtension"/>
        <min value="0"/>
        <max value="*"/>
      </base>
      <type>
        <code value="Extension"/>
      </type>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="rim"/>
        <map value="N/A"/>
      </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.&#13;&#13;The dosage instructions should reflect the dosage of the medication that was administered."/>
      <min value="0"/>
      <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 [body-site-instance](extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/route-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administration-method-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
      <min value="0"/>
      <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 may not include provenances for all versions of the request &#x2013; only those deemed &#x201C;relevant&#x201D; or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a &#x201C;relevant&#x201D; 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."/>
      <min value="0"/>
      <max value="*"/>
      <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>
  </snapshot>
  <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."/>
      <comment value="The WG will be updating the MedicationAdministration resource to adjust each affected resource to align with the workflow pattern (see workflow.html)."/>
      <min value="0"/>
      <max value="*"/>
      <constraint>
        <key value="mad-2"/>
        <severity value="error"/>
        <human value="Reason not given is only permitted if NotGiven is true"/>
        <expression value="reasonNotGiven.empty() or notGiven = true"/>
        <xpath value="not(exists(f:reasonNotGiven) and f:notGiven/@value=false())"/>
      </constraint>
      <constraint>
        <key value="mad-3"/>
        <severity value="error"/>
        <human value="Reason given is only permitted if NotGiven is false"/>
        <expression value="reasonCode.empty() or notGiven.empty() or notGiven = &apos;false&apos;"/>
        <xpath value="not(exists(f:reasonCode) and f:notGiven/@value=true())"/>
      </constraint>
      <mapping>
        <identity value="workflow"/>
        <map value="..Event"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value="SubstanceAdministration"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="clinical.medication"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.identifier">
      <path value="MedicationAdministration.identifier"/>
      <short value="External identifier"/>
      <definition value="External identifier - FHIR will generate its own internal identifiers (probably URLs) which do not need to be explicitly managed by the resource. The identifier here is one that would be used by another non-FHIR system - for example an automated medication pump would provide a record each time it operated an administration while the patient was off the ward might be made with a different system and entered after the event. Particularly important if these records have to be updated."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Identifier"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;identifier"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".id"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="id"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.definition">
      <path value="MedicationAdministration.definition"/>
      <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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/PlanDefinition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/ActivityDefinition"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;definition"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationAdministration"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Procedure"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;part of"/>
      </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 | 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"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-status"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;status"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".statusCode"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="status"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.category">
      <path value="MedicationAdministration.category"/>
      <short value="Type of medication usage"/>
      <definition value="Indicates the type of medication administration and where the medication is expected to be consumed or administered."/>
      <min value="0"/>
      <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"/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-admin-category"/>
        </valueSetReference>
      </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.&#xA0; For example if&#xA0;you require&#xA0;form or&#xA0;lot number, then you must&#xA0;reference the Medication resource.&#xA0;."/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/medication-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;code"/>
      </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>
      <mapping>
        <identity value="w5"/>
        <map value="what"/>
      </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"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Group"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;subject"/>
      </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="who.focus"/>
      </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 the medication administration was performed as part of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Encounter"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/EpisodeOfCare"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Resource"/>
      </type>
      <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>
      <mapping>
        <identity value="w5"/>
        <map value="context"/>
      </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 &apos;notGiven&apos; 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="&#x2026;occurrence[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>
      <mapping>
        <identity value="w5"/>
        <map value="when.done"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer">
      <path value="MedicationAdministration.performer"/>
      <short value="Who administered substance"/>
      <definition value="The individual who was responsible for giving the medication to the patient."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="BackboneElement"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;performer"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-10-Administering Provider / PRT-5-Participation Person: PRT-4-Participation=&apos;AP&apos; (RXA-10 is deprecated)"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".participation[typeCode=PRF]"/>
      </mapping>
      <mapping>
        <identity value="w5"/>
        <map value="who.actor"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.actor">
      <path value="MedicationAdministration.performer.actor"/>
      <short value="Individual who was performing"/>
      <definition value="The device, practitioner, etc. who performed the action."/>
      <min value="1"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Practitioner"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Patient"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/RelatedPerson"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Device"/>
      </type>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;.actor"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.performer.onBehalfOf">
      <path value="MedicationAdministration.performer.onBehalfOf"/>
      <short value="Organization organization was acting for"/>
      <definition value="The organization the device or practitioner was acting on behalf of."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Organization"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;.onBehalfOf"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".role.scopingOrganization"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.notGiven">
      <path value="MedicationAdministration.notGiven"/>
      <short value="True if medication not administered"/>
      <definition value="Set this to true if the record is saying that the medication was NOT administered."/>
      <comment value="This element is labeled as a modifier because it indicates that a administration didn&apos;t happen."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="boolean"/>
      </type>
      <meaningWhenMissing value="If this is missing, then the medication was administered"/>
      <isModifier value="true"/>
      <isSummary value="true"/>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;notDone"/>
      </mapping>
      <mapping>
        <identity value="v2"/>
        <map value="RXA-20-Completion Status=&apos;NA&apos;"/>
      </mapping>
      <mapping>
        <identity value="rim"/>
        <map value=".actionNegationInd"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.reasonNotGiven">
      <path value="MedicationAdministration.reasonNotGiven"/>
      <short value="Reason administration not performed"/>
      <definition value="A code indicating why the administration was not performed."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-2"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;notDoneReason"/>
      </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.reasonCode">
      <path value="MedicationAdministration.reasonCode"/>
      <short value="Reason administration performed"/>
      <definition value="A code indicating why the medication was given."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="CodeableConcept"/>
      </type>
      <condition value="mad-3"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/reason-medication-given-codes"/>
        </valueSetReference>
      </binding>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;reasonGivenCodeableConcept"/>
      </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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Condition"/>
      </type>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/Observation"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;reasonReference"/>
      </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>
      <mapping>
        <identity value="w5"/>
        <map value="why"/>
      </mapping>
    </element>
    <element id="MedicationAdministration.prescription">
      <path value="MedicationAdministration.prescription"/>
      <short value="Request administration performed against"/>
      <definition value="The original request, instruction or authority to perform the administration."/>
      <min value="0"/>
      <max value="1"/>
      <type>
        <code value="Reference"/>
        <targetProfile value="http://hl7.org/fhir/StructureDefinition/MedicationRequest"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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."/>
      <min value="0"/>
      <max value="*"/>
      <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."/>
      <min value="0"/>
      <max value="*"/>
      <type>
        <code value="Annotation"/>
      </type>
      <mapping>
        <identity value="workflow"/>
        <map value="&#x2026;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."/>
      <min value="0"/>
      <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(.), &apos;rate&apos;)])"/>
      </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.&#13;&#13;The dosage instructions should reflect the dosage of the medication that was administered."/>
      <min value="0"/>
      <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 [body-site-instance](extension-body-site-instance.html). May be a summary code, or a reference to a very precise definition of the location, or both."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/approach-site-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/route-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
        <valueSetReference>
          <reference value="http://hl7.org/fhir/ValueSet/administration-method-codes"/>
        </valueSetReference>
      </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."/>
      <min value="0"/>
      <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."/>
      <min value="0"/>
      <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 may not include provenances for all versions of the request &#x2013; only those deemed &#x201C;relevant&#x201D; or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a &#x201C;relevant&#x201D; 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."/>
      <min value="0"/>
      <max value="*"/>
      <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>