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{
  "resourceType": "StructureDefinition",
  "id": "zib-MedicationAdministration2",
  "url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration2",
  "name": "ZibMedicationAdministration2",
  "title": "zib MedicationAdministration2",
  "status": "draft",
  "publisher": "Nictiz",
  "contact": [
    {
      "name": "Nictiz",
      "telecom": [
        {
          "system": "email",
          "value": "info@nictiz.nl",
          "use": "work"
        }
      ]
    }
  ],
  "description": "Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements.",
  "purpose": "This MedicationAdministration resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) MedicationAdministration2-v1.1.1(2020EN)](https://zibs.nl/wiki/MedicationAdministration2-v1.1.1(2020EN)).",
  "copyright": "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
  "fhirVersion": "4.0.1",
  "mapping": [
    {
      "identity": "zib-medicationadministration2-v1.1.1-2020EN",
      "uri": "https://zibs.nl/wiki/MedicationAdministration2-v1.1.1(2020EN)",
      "name": "zib MedicationAdministration2-v1.1.1(2020EN)"
    },
    {
      "identity": "zib-range-v1.0.1-2020EN",
      "uri": "https://zibs.nl/wiki/Range-v1.0.1(2020EN)",
      "name": "zib Range-v1.0.1(2020EN)"
    }
  ],
  "kind": "resource",
  "abstract": true,
  "type": "MedicationAdministration",
  "baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration",
  "derivation": "constraint",
  "differential": {
    "element": [
      {
        "id": "MedicationAdministration",
        "path": "MedicationAdministration",
        "short": "MedicationAdministration",
        "alias": [
          "MedicatieToediening"
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.20928",
            "comment": "MedicationAdministration"
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension",
        "path": "MedicationAdministration.extension",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "url"
            }
          ],
          "rules": "open"
        },
        "min": 0
      },
      {
        "id": "MedicationAdministration.extension:agreedDateTime",
        "path": "MedicationAdministration.extension",
        "sliceName": "agreedDateTime",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension:doubleCheckPerformed",
        "path": "MedicationAdministration.extension",
        "sliceName": "doubleCheckPerformed",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension:deviatingAdministration",
        "path": "MedicationAdministration.extension",
        "sliceName": "deviatingAdministration",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension:medicationAdministrationReasonForDeviation",
        "path": "MedicationAdministration.extension",
        "sliceName": "medicationAdministrationReasonForDeviation",
        "min": 0,
        "type": [
          {
            "code": "Extension",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation"
            ]
          }
        ]
      },
      {
        "id": "MedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x]",
        "path": "MedicationAdministration.extension.value[x]",
        "comment": "This MedicationAdministrationReasonForDeviation extension has overlap with `statusReason`. Both concepts allow the documentation of reasons why an administration did not take place, potentially resulting in duplicated information in both places. This extension, however, has a broader scope because it also covers the reasons why administrations are performed differently than the agreement."
      },
      {
        "id": "MedicationAdministration.status",
        "path": "MedicationAdministration.status",
        "short": "MedicationAdministrationStatus",
        "definition": "The status of the administration, as a description of the stage within the administering process. Only the status codes ‘completed’ and ‘cancelled’ apply to indivisible products (such as tablets or suppositories). For divisible products (such as infusions), doses can also be ‘suspended’ or ‘aborted’.  \r\n\r\nWhen documenting this, the following interpretations are used: \r\n\r\n- Active: The product is administered.\r\n- Interrupted: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use.\r\n- Discontinued: Administration has stopped.\r\n- Completed: Administration has been completed.\r\n- Not started: The product was never administered.",
        "alias": [
          "MedicatieToedieningStatus"
        ],
        "binding": {
          "strength": "required",
          "description": "Use ConceptMap 'MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes' to translate zib terminology to profile terminology in ValueSet' MedicationAdministration Status Codes'",
          "valueSet": "http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1",
          "_valueSet": {
            "extension": [
              {
                "url": "http://hl7.org/fhir/StructureDefinition/11179-permitted-value-conceptmap",
                "valueCanonical": "http://nictiz.nl/fhir/ConceptMap/MedicatieToedieningStatusCodelijst-to-MedicationAdministrationStatusCodes"
              }
            ]
          }
        },
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21191",
            "comment": "MedicationAdministrationStatus"
          }
        ]
      },
      {
        "id": "MedicationAdministration.category",
        "path": "MedicationAdministration.category",
        "min": 1,
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "18629005"
            }
          ]
        }
      },
      {
        "id": "MedicationAdministration.medication[x]",
        "path": "MedicationAdministration.medication[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.medication[x]:medicationReference",
        "path": "MedicationAdministration.medication[x]",
        "sliceName": "medicationReference",
        "short": "AdministrationProduct",
        "definition": "The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well. \r\n\r\nIn principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet.",
        "alias": [
          "ToedieningsProduct"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Medication",
              "http://nictiz.nl/fhir/StructureDefinition/zib-PharmaceuticalProduct"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.20929",
            "comment": "AdministrationProduct"
          }
        ]
      },
      {
        "id": "MedicationAdministration.supportingInformation",
        "path": "MedicationAdministration.supportingInformation",
        "slicing": {
          "discriminator": [
            {
              "type": "value",
              "path": "type"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.supportingInformation:administrationAgreement",
        "path": "MedicationAdministration.supportingInformation",
        "sliceName": "administrationAgreement",
        "short": "AdministrationAgreement",
        "definition": "Administration agreement on which this administration is based.",
        "alias": [
          "Toedieningsafspraak"
        ],
        "max": "1",
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Resource",
              "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23237",
            "comment": "AdministrationAgreement"
          }
        ]
      },
      {
        "id": "MedicationAdministration.supportingInformation:administrationAgreement.type",
        "path": "MedicationAdministration.supportingInformation.type",
        "min": 1,
        "patternUri": "MedicationDispense"
      },
      {
        "id": "MedicationAdministration.effective[x]",
        "path": "MedicationAdministration.effective[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.effective[x]:effectiveDateTime",
        "path": "MedicationAdministration.effective[x]",
        "sliceName": "effectiveDateTime",
        "short": "AdministrationDateTime",
        "definition": "The date and time at which the medication was administered.",
        "alias": [
          "ToedieningsDatumTijd"
        ],
        "type": [
          {
            "code": "dateTime"
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21193",
            "comment": "AdministrationDateTime"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer",
        "path": "MedicationAdministration.performer",
        "short": "Administrator",
        "definition": "The concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.",
        "alias": [
          "Toediener"
        ],
        "max": "1",
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21196",
            "comment": "Administrator"
          }
        ]
      },
      {
        "id": "MedicationAdministration.performer.actor",
        "path": "MedicationAdministration.performer.actor",
        "short": "Patient / HealthProfessional / Caregiver",
        "definition": "The concept describes the person who administered the product. This is a professional authorised administrator.",
        "alias": [
          "Patiënt",
          "Zorgverlener",
          "Mantelzorger"
        ],
        "type": [
          {
            "code": "Reference",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-ZibHealthProfessionalReference"
            ],
            "targetProfile": [
              "http://hl7.org/fhir/StructureDefinition/Practitioner",
              "http://hl7.org/fhir/StructureDefinition/PractitionerRole",
              "http://hl7.org/fhir/StructureDefinition/Patient",
              "http://hl7.org/fhir/StructureDefinition/RelatedPerson",
              "http://hl7.org/fhir/StructureDefinition/Device",
              "http://nictiz.nl/fhir/StructureDefinition/zib-Patient",
              "http://nictiz.nl/fhir/StructureDefinition/zib-HealthProfessional-PractitionerRole",
              "http://nictiz.nl/fhir/StructureDefinition/zib-ContactPerson"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23380",
            "comment": "Patient"
          },
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23172",
            "comment": "HealthProfessional"
          },
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23355",
            "comment": "Caregiver"
          }
        ]
      },
      {
        "id": "MedicationAdministration.request",
        "path": "MedicationAdministration.request",
        "short": "MedicationAgreement",
        "definition": "Medication agreement on which this administration is based.",
        "alias": [
          "Medicatieafspraak"
        ],
        "type": [
          {
            "code": "Reference",
            "targetProfile": [
              "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement",
              "http://hl7.org/fhir/StructureDefinition/MedicationRequest"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23170",
            "comment": "MedicationAgreement"
          }
        ]
      },
      {
        "id": "MedicationAdministration.note",
        "path": "MedicationAdministration.note",
        "max": "1"
      },
      {
        "id": "MedicationAdministration.note.text",
        "path": "MedicationAdministration.note.text",
        "short": "Comment",
        "definition": "Comments on administering the medication.",
        "alias": [
          "Toelichting"
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21337",
            "comment": "Comment"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.route",
        "path": "MedicationAdministration.dosage.route",
        "short": "RouteOfAdministration",
        "definition": "The route through which the medication is administered (oral, nasal, intravenous,...).",
        "alias": [
          "Toedieningsweg"
        ],
        "binding": {
          "strength": "required",
          "valueSet": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20200901000000"
        },
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21195",
            "comment": "RouteOfAdministration"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.dose",
        "path": "MedicationAdministration.dosage.dose",
        "short": "AdministeredAmount",
        "definition": "Amount of the administered product.",
        "alias": [
          "ToegediendeHoeveelheid"
        ],
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.21194",
            "comment": "AdministeredAmount"
          }
        ]
      },
      {
        "id": "MedicationAdministration.dosage.rate[x]",
        "path": "MedicationAdministration.dosage.rate[x]",
        "slicing": {
          "discriminator": [
            {
              "type": "type",
              "path": "$this"
            }
          ],
          "rules": "open"
        }
      },
      {
        "id": "MedicationAdministration.dosage.rate[x]:rateQuantity",
        "path": "MedicationAdministration.dosage.rate[x]",
        "sliceName": "rateQuantity",
        "short": "AdministeringSpeed / nominalValue",
        "definition": "The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. Entering an interval (such as 0-10 ml/hour) is also a commonly used option. \nFor example, with an administering speed of 10ml/hour: \r\n- amount = 10,\r\n- dose unit = ml          \r\n- time unit = hour\r\n\r\nOptionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed.",
        "comment": "The extension MedicationAdministration2AdministreringSpeedRange extends `.rate[x]` with the Range datatype to allow population of the minimumValue and the maximumValue of the zib Range.",
        "alias": [
          "Toedieningssnelheid",
          "nominaleWaarde"
        ],
        "type": [
          {
            "code": "Quantity",
            "profile": [
              "http://nictiz.nl/fhir/StructureDefinition/pattern-GstdSimpleQuantity"
            ]
          }
        ],
        "mapping": [
          {
            "identity": "zib-medicationadministration2-v1.1.1-2020EN",
            "map": "NL-CM:9.13.23159",
            "comment": "AdministeringSpeed"
          },
          {
            "identity": "zib-range-v1.0.1-2020EN",
            "map": "NL-CM:20.1.4",
            "comment": "nominalValue"
          }
        ]
      }
    ]
  }
}

name : ZibMedicationAdministration2

{

}