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HdBe-MedicatieToediening2

CBB	Concept	Status
HdBe-MedicationAdministration2	Medicatietoediening is de registratie van de afzonderlijke toedieningen van het geneesmiddel aan de patiënt door de toediener (zoals een verpleegkundige of patiënt zelf), in relatie tot de gemaakte afspraken. Purpose Het doel van medicatietoediening is inzicht te geven in de daadwerkelijk toegediende producten.	active

CBB

Concept

Status

HdBe-MedicationAdministration2

Medicatietoediening is de registratie van de afzonderlijke toedieningen van het geneesmiddel aan de patiënt door de toediener (zoals een verpleegkundige of patiënt zelf), in relatie tot de gemaakte afspraken.

Purpose

Het doel van medicatietoediening is inzicht te geven in de daadwerkelijk toegediende producten.

active

MedicationAdministration2			MedicationAdministration2	Element id MedicationAdministration2 Short description MedicatieToediening Definition Rootconcept van de bouwsteen MedicatieToediening2. Dit rootconcept bevat alle gegevenselementen van de bouwsteen MedicatieToediening2. Data type MedicationAdministration2 Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationAdministration2.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationAdministration2.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
AdministrationProduct	I	1..1	Reference(HdBe-PharmaceuticalProduct)	Element id MedicationAdministration2.AdministrationProduct Short description ToedieningsProduct Definition Het ingenomen of toegediende middel. Dit is vrijwel steeds een geneesmiddel. Voedingsmiddelen, bloedproducten, hulp- en verbandmiddelen vallen strikt genomen niet onder de categorie geneesmiddelen, maar kunnen ook worden worden gerapporteerd. In principe betreft dit het voorgeschreven product, maar de toediener kan door substitutie het voorgeschreven product vervangen door een equivalent product. Bijv. in plaats van tabletten van 100mg, tabletten van 50mg waarvan er dan twee worden toegediend. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-PharmaceuticalProduct) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
AdministeringSpeed		0..1	HdBe-Range	Element id MedicationAdministration2.AdministeringSpeed Short description Bereik Definition Rootconcept van de subbouwsteen Bereik. Dit rootconcept bevat alle gegevenselementen van de subbouwsteen Bereik. Data type HdBe-Range Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AdministrationDateTime		1..1	dateTime	Element id MedicationAdministration2.AdministrationDateTime Short description ToedieningsDatumTijd Definition Datum en tijd waarop de toediening heeft plaatsgevonden. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AgreedDateTime		0..1	dateTime	Element id MedicationAdministration2.AgreedDateTime Short description AfgesprokenDatumTijd Definition Datum en tijd uit de medicatie- of toedieningsafspraak waarop deze toediening betrekking heeft. Omdat er in één medicatie/toedieningsafspraak meerdere tijdstippen kunnen worden aangegeven kan hiermee bij bijvoorbeeld vervroegde toediening of het inhalen van een toediening het afgesproken tijdstip worden achterhaald. Data type dateTime Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
AdministeredAmount	I	0..1	Quantity	Element id MedicationAdministration2.AdministeredAmount Short description ToegediendeHoeveelheid Definition Hoeveelheid van het product dat werd toegediend. Comments The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator. Data type Quantity Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()` Mappings rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
DeviatingAdministration		0..1	boolean	Element id MedicationAdministration2.DeviatingAdministration Short description AfwijkendeToediening Definition Is er een afwijking geweest in de toediening ten opzicht van de medicatie- of toedieningsafspraak? Dit kan een afwijking betreffen in product, tijdstip, hoeveelheid, toedieningsweg of toedieningssnelheid of het in het geheel niet toedienen. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
RouteOfAdministration		1..1	CodeableConceptBinding	Element id MedicationAdministration2.RouteOfAdministration Short description Toedieningsweg Definition De route waarlangs de medicatie wordt toegediend (oraal, nasaal, intraveneus,...). Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding RouteOfAdministration codes RouteOfMedicationAdministration (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
DoubleCheckPerformed		0..1	boolean	Element id MedicationAdministration2.DoubleCheckPerformed Short description DubbeleControleUitgevoerd Definition Is er dubbele controle uitgevoerd voorafgaande aan de toediening? Dit is alleen bij bepaalde medicatie wettelijk verplicht. Data type boolean Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
RelatedAgreement	I	0..1	BackboneElement	Element id MedicationAdministration2.RelatedAgreement Short description GerelateerdeAfspraak Definition Medicatie- of toedieningsafspraak waar deze toediening op gebaseerd is. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-1: Either medication_agreement or administration_agreement may exists. `medication_agreement.exists() xor administration_agreement.exists()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationAdministration2.RelatedAgreement.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationAdministration2.RelatedAgreement.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationAdministration2.RelatedAgreement.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
MedicationAgreement	I	0..1	Reference(HdBe-MedicationAgreement)	Element id MedicationAdministration2.RelatedAgreement.MedicationAgreement Short description Medicatieafspraak Definition Medicatiesafspraak waar deze toediening op gebaseerd is. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-MedicationAgreement) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
AdministrationAgreement	I	0..1	Reference(HdBe-AdministrationAgreement)	Element id MedicationAdministration2.RelatedAgreement.AdministrationAgreement Short description Toedieningsafspraak Definition Toedieningsafspraak waar deze toediening op gebaseerd is. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-AdministrationAgreement) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Administrator	I	0..1	BackboneElement	Element id MedicationAdministration2.Administrator Short description Toediener Definition De container van het concept Toediener. Deze container bevat alle gegevenselementen van de concept Toediener. Het concept beschrijft de persoon die de toediening gerealiseerd heeft. Dit is een professionele toedieningsbevoegde, de patient zelf of de bijvoorbeeld de mantelzorger. Data type BackboneElement Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-2: Either patient, health_professional or caregiver may exists. `patient.exists() xor health_professional.exists() xor caregiver.exists()` Mappings rim: n/a
id		0..1	string	There are no (further) constraints on this element Element id MedicationAdministration2.Administrator.id Short description Unique id for inter-element referencing Definition Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces. Data type string Mappings rim: n/a
extension	I	0..*	Extension	There are no (further) constraints on this element Element id MedicationAdministration2.Administrator.extension Short description Additional content defined by implementations Alternate names extensions, user content Definition May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Comments 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. Data type Extension Sliced: Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
modifierExtension	Σ ?! I	0..*	Extension	There are no (further) constraints on this element Element id MedicationAdministration2.Administrator.modifierExtension Short description Extensions that cannot be ignored even if unrecognized Alternate names extensions, user content, modifiers Definition 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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). Requirements Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions. Comments 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. Data type Extension Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()` Mappings rim: n/a rim: N/A
Patient	I	0..1	Reference(HdBe-Patient)	Element id MedicationAdministration2.Administrator.Patient Short description Patiënt Definition Wanneer de patiënt zelf de medicatie heeft toegediend wordt dat hier aangegeven. Wanneer de medicatietoediening is gedaan door een zorgverlener of mantelzorger/familielid/etc. wordt respectievelijk de zorgverlener vermeld in het element 'Zorgverlener' of de mantelzorger/familielid/etc. in het element 'Contactpersoon'. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-Patient) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
HealthProfessional	I	0..1	Reference(HdBe-HealthProfessional)	Element id MedicationAdministration2.Administrator.HealthProfessional Short description Zorgverlener Definition Het concept beschrijft de persoon die de toediening gerealiseerd heeft. Dit is een professionele toedieningsbevoegde. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-HealthProfessional) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
Caregiver	I	0..1	Reference(HdBe-ContactPerson)	Element id MedicationAdministration2.Administrator.Caregiver Short description Mantelzorger Definition Gegevens van een persoonlijke relatie van de patiënt, die de medicatietoediening heeft gedaan. Comments References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository. Data type Reference(HdBe-ContactPerson) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))` Mappings rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministrationReasonForDeviation		0..1	CodeableConceptBinding	Element id MedicationAdministration2.MedicationAdministrationReasonForDeviation Short description MedicatieToedieningRedenVanAfwijken Definition Reden dat de toediening of inname van een medicament niet of anders is uitgevoerd. Hier kan een tekst of een van de codes gekozen worden. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding MedicationAdministrationReasonForDeviation codes MedicationAdministrationReasonForDeviation (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationAdministrationStatus		1..1	CodeableConceptBinding	Element id MedicationAdministration2.MedicationAdministrationStatus Short description MedicatieToedieningStatus Definition De status van de toediening, als beschijving van het stadium van het toedieningsproces. Voor ondeelbare producten (bijv. tabletten, zetpillen) zijn alleen de status codes ‘completed’ (voltooid) en ‘cancelled’ (niet toegediend) van toepassing. Voor deelbare producten (bijv. infusen) geldt dat de toediening ook ‘suspended’ (onderbroken) en ‘aborted’ (afgebroken) kan zijn. Bij de vastlegging worden de volgende interpretaties gehanteerd: Actief: Het product wordt toegediend. Onderbroken: De toediening is (tijdelijk) onderbroken , bv. wegens een bijwerking. Later zal besloten worden tot hervatting of stoppen. Afgebroken: De toediening is afgebroken. Voltooid: De toediening is helemaal afgerond. Niet gestart: De toediening van het product is niet gestart. Comments Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination. Data type CodeableConcept Binding MedicationAdministrationStatus codes MedicationAdministrationStatus (required) Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
Comment		0..1	string	Element id MedicationAdministration2.Comment Short description Toelichting Definition Opmerkingen met betrekking tot de medicatie toediening. Comments Note that FHIR strings SHALL NOT exceed 1MB in size Data type string Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a

MedicationAdministration2		0..*
MedicationAdministration2.AdministrationProduct	Reference(HdBe-PharmaceuticalProduct)	1..1
MedicationAdministration2.AdministeringSpeed	HdBe-Range	0..1
MedicationAdministration2.AdministrationDateTime	dateTime	1..1
MedicationAdministration2.AgreedDateTime	dateTime	0..1
MedicationAdministration2.AdministeredAmount	Quantity	0..1
MedicationAdministration2.DeviatingAdministration	boolean	0..1
MedicationAdministration2.RouteOfAdministration	CodeableConcept	1..1
MedicationAdministration2.DoubleCheckPerformed	boolean	0..1
MedicationAdministration2.RelatedAgreement	BackboneElement	0..1
MedicationAdministration2.RelatedAgreement.MedicationAgreement	Reference(HdBe-MedicationAgreement)	0..1
MedicationAdministration2.RelatedAgreement.AdministrationAgreement	Reference(HdBe-AdministrationAgreement)	0..1
MedicationAdministration2.Administrator	BackboneElement	0..1
MedicationAdministration2.Administrator.Patient	Reference(HdBe-Patient)	0..1
MedicationAdministration2.Administrator.HealthProfessional	Reference(HdBe-HealthProfessional)	0..1
MedicationAdministration2.Administrator.Caregiver	Reference(HdBe-ContactPerson)	0..1
MedicationAdministration2.MedicationAdministrationReasonForDeviation	CodeableConcept	0..1
MedicationAdministration2.MedicationAdministrationStatus	CodeableConcept	1..1
MedicationAdministration2.Comment	string	0..1

MedicationAdministration2
Definition	Root concept of the MedicationAdministration2 information model. This root concept contains all data elements of the MedicationAdministration2 information model.
Cardinality	0...*
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationAdministration2.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationAdministration2.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. In 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.
Cardinality	1...1
Type	Reference(HdBe-PharmaceuticalProduct)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.AdministeringSpeed
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. For example, with an administering speed of 10ml/hour: * amount = 10, * dose unit = ml * time unit = hour
Cardinality	0...1
Type	HdBe-Range
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.AdministrationDateTime
Definition	The date and time at which the medication was administered.
Cardinality	1...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.AgreedDateTime
Definition	Date and time in the medication or administration agreement to which this administration pertains. Since multiple times can be indicated in one medication/administration agreement, this can be used to identify the agreed time in the event of e.g. early administration or a late administration.
Cardinality	0...1
Type	dateTime
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.AdministeredAmount
Definition	Amount of the administered product.
Cardinality	0...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3: If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim: n/a v2: SN (see also Range) or CQ rim: PQ, IVL<PQ>, MO, CO, depending on the values
MedicationAdministration2.DeviatingAdministration
Definition	In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether.
Cardinality	0...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.RouteOfAdministration
Definition	The route through which the medication is administered (oral, nasal, intravenous,...).
Cardinality	1...1
Type	CodeableConcept
Binding	RouteOfAdministration codes RouteOfMedicationAdministration (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationAdministration2.DoubleCheckPerformed
Definition	Was a double check performed prior to the administration? This is only legally required for certain medication.
Cardinality	0...1
Type	boolean
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAdministration2.RelatedAgreement
Definition	Medication or administration agreement on which this administration is based.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-1: Either medication_agreement or administration_agreement may exists. `medication_agreement.exists() xor administration_agreement.exists()`
Mappings	rim: n/a
MedicationAdministration2.RelatedAgreement.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationAdministration2.RelatedAgreement.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationAdministration2.RelatedAgreement.modifierExtension
Definition	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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationAdministration2.RelatedAgreement.MedicationAgreement
Definition	Medication agreement on which this administration is based.
Cardinality	0...1
Type	Reference(HdBe-MedicationAgreement)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.RelatedAgreement.AdministrationAgreement
Definition	Administration agreement on which this administration is based.
Cardinality	0...1
Type	Reference(HdBe-AdministrationAgreement)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.Administrator
Definition	Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-2: Either patient, health_professional or caregiver may exists. `patient.exists() xor health_professional.exists() xor caregiver.exists()`
Mappings	rim: n/a
MedicationAdministration2.Administrator.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	string
Mappings	rim: n/a
MedicationAdministration2.Administrator.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. 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 can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	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.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationAdministration2.Administrator.modifierExtension
Definition	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 in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. 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 can 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. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	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.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1: Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim: n/a rim: N/A
MedicationAdministration2.Administrator.Patient
Definition	If the patient administered the medication themselves, indicate that here. If the medication is administered by a health professional or caregiver/family member/etc., the health professional is entered in the ‘Healthcare professional’ element or the caregiver/family member/etc. is entered in the ‘Caregiver’ element respectively.
Cardinality	0...1
Type	Reference(HdBe-Patient)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.Administrator.HealthProfessional
Definition	The concept describes the person who administered the product. This is a professional authorised administrator.
Cardinality	0...1
Type	Reference(HdBe-HealthProfessional)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.Administrator.Caregiver
Definition	Information on the patient’s personal relative or contact that administered the medication.
Cardinality	0...1
Type	Reference(HdBe-ContactPerson)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1: SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim: n/a rim: The target of a resource reference is a RIM entry point (Act, Role, or Entity)
MedicationAdministration2.MedicationAdministrationReasonForDeviation
Definition	Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes.
Cardinality	0...1
Type	CodeableConcept
Binding	MedicationAdministrationReasonForDeviation codes MedicationAdministrationReasonForDeviation (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationAdministration2.MedicationAdministrationStatus
Definition	The status of the administration, as a description of the stage within the administering process. Only the status codes ‘completed’ and ‘canceled’ apply to indivisible products (such as tablets or suppositories). For divisible products (such as infusions), doses can also be ‘suspended’ or ‘aborted’. When documenting this, the following interpretations are used: * Active: The product is administered. * Suspended: 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. * Aborted: Administration has stopped. * Completed: Administration has been completed. * Canceled: The product was never administered.
Cardinality	1...1
Type	CodeableConcept
Binding	MedicationAdministrationStatus codes MedicationAdministrationStatus (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a v2: CE/CNE/CWE rim: CD orim: fhir:CodeableConcept rdfs:subClassOf dt:CD
MedicationAdministration2.Comment
Definition	Comments on administering the medication.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a

Example instances

MedicationAdministration2
AdministrationProduct	Reference to PharmaceuticalProduct (Acetaminophen 500 mg oral tablet)
AdministeringSpeed
AdministrationDateTime	2022-06-03 16:19:07
AgreedDateTime
AdministeredAmount	1 tablet
DeviatingAdministration	false
RouteOfAdministration	26643006 - Oral route (code by SNOMED CT)
DoubleCheckPerformed	false
RelatedAgreement	--
RelatedAgreement.MedicationAgreement
RelatedAgreement.AdministrationAgreement
Administrator	--
Administrator.Patient	Reference to Patient (Belle Ulijn)
Administrator.HealthProfessional
Administrator.Caregiver
`MedicationAdministrationReasonForDeviation
MedicationAdministrationStatus	MS0002 - Completed (code by Healthdate.Be (Sciensano))
Comment

zib MedicationAdministration2-v1.1.1 difference

Concept	Category	Description
`MedicationAdministration2` (root)	naming	Renamed the root concept name MedicationAdministration to MedicationAdministration2 to align with the sdf-8 constraint. (zib ticket #1875)
`AdministeringSpeed`	type	Replaced type BackboneElement with Range type and added HdBe-Range partial CBB.
`AdministeringSpeed`	element	Removed elements minimumValue, maximumValue and nominalValue as they are defined within the CBB HdBe-Range.
`AdministeringSpeed`	textual	Removed context regarding the Dutch NHG table.
`RouteOfAdministration`	terminology	Replaced Gstandaard codes with SNOMED hierarchy containing descendents of 284009009 (Route of administration value) (zib ticket #1781) and renamed it to RouteOfMedicationAdministration to reuse the ValueSet both here and in InstructionsForUse.
`MedicationAdministrationReasonForDeviation`	terminology	Replaced NL-CM-CS or ActReason codes with SNOMED codes as found in the 2022 CodeList. Also added SNOMED codes for Unknown and Other. SNOMED NL codes are replaced with custom codes as defined in the CodeSystem MedicationAdministrationReasonForDeviation.
`MedicationAdministrationStatus`	terminology	Replaced ActStatus codes of the MedicationAdministrationStatus ValueSet with SNOMED codes where applicable and added custom codes for codes not found in SNOMED, such as: Aborted and Completed.
`MedicationAdministrationStatus`	textual	Aligned description of the values with the used valueSet.
`RelatedAgreement`	constraint	Added an invariant (id = HdBe-MedicationAdministration2-1 ) to indicate only one relatedAgreement is expected.
`Administrator`	constraint	Added an invariant (HdBe-MedicationAdministration2-2) to indicate only one administrator is expected.

Terminology Bindings

Path	Name	Strength	URL
RouteOfAdministration	RouteOfMedicationAdministration	required	https://fhir.healthdata.be/ValueSet/RouteOfMedicationAdministration
MedicationAdministrationReasonForDeviation	MedicationAdministrationReasonForDeviation	required	https://fhir.healthdata.be/ValueSet/MedicationAdministrationReasonForDeviation
MedicationAdministrationStatus	MedicationAdministrationStatus	required	https://fhir.healthdata.be/ValueSet/MedicationAdministrationStatus