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HdBe-Medicatieafspraak

CBB	Concept	Status
HdBe-MedicationAgreement	Een medicatieafspraak is het voorstel van een voorschrijver tot gebruik van medicatie door een patiënt. Ook de afspraak om het medicatiegebruik te staken is een medicatieafspraak. Purpose Het doel van de medicatieafspraak is inzicht te geven in de afspraken die zijn gemaakt tussen voorschrijver en patiënt over het gebruik van medicatie. Instructions MedicatieafspraakAanvullendeInformatie: Bij het kiezen van een geneesmiddel kan er worden afgeweken van wat er verwacht wordt of van wat de standaard is. Bijvoorbeeld wanneer het ziekenhuis een ander formularium hanteert dan de openbare apotheek. Uit efficiencyoverwegingen is in het ziekenhuis bijvoorbeeld gekozen voor één maagzuurremmer: pantoprazol. Bij opname wordt een patiënt met omeprazol omgezet naar pantoprazol voor de duur van het verblijf. Bij ontslag gaat de patiënt weer terug naar omeprazol. Het is duidelijk dat hier nog weleens wat mis kan gaan en dat de patiënt zowel omeprazol als pantoprazol slikt als er niet ingegrepen wordt. In de medicatieafspraak van het ziekenhuis voor pantoprazol kan een opmerking worden gemaakt over de afwijking zodat duidelijk is dat pantoprazol de vervanger is van omeprazol of juist naast omeprazol moet worden gebruikt. Ander voorbeeld zijn de halve sterktes. Het ziekenhuis heeft soms de beschikking over tabletten met de halve sterkte van het normale handelspreparaat (eigen productie). Waar de patiënt het ziekenhuis ingaat met chlortalidon 25 mg, een maal daags een halve tablet krijgt hij intramuraal chlortalidon 12,5 mg, eenmaal daags één tablet. Dan hoeft de verpleging in dit geval geen tabletten te breken. Hier bestaat het risico dat de patiënt bij thuiskomst weer de 25 mg gaat gebruiken, maar dan een hele tablet per keer. Door een toelichting in de medicatieafspraak (Aanvullende informatie) van de laatste chlortalidon 25 mg kan worden aangegeven of dit een bewuste verhoging is geweest.	active

CBB

Concept

Status

HdBe-MedicationAgreement

Een medicatieafspraak is het voorstel van een voorschrijver tot gebruik van medicatie door een patiënt. Ook de afspraak om het medicatiegebruik te staken is een medicatieafspraak.

Purpose

Het doel van de medicatieafspraak is inzicht te geven in de afspraken die zijn gemaakt tussen voorschrijver en patiënt over het gebruik van medicatie.

Instructions

MedicatieafspraakAanvullendeInformatie: Bij het kiezen van een geneesmiddel kan er worden afgeweken van wat er verwacht wordt of van wat de standaard is. Bijvoorbeeld wanneer het ziekenhuis een ander formularium hanteert dan de openbare apotheek. Uit efficiencyoverwegingen is in het ziekenhuis bijvoorbeeld gekozen voor één maagzuurremmer: pantoprazol. Bij opname wordt een patiënt met omeprazol omgezet naar pantoprazol voor de duur van het verblijf. Bij ontslag gaat de patiënt weer terug naar omeprazol. Het is duidelijk dat hier nog weleens wat mis kan gaan en dat de patiënt zowel omeprazol als pantoprazol slikt als er niet ingegrepen wordt. In de medicatieafspraak van het ziekenhuis voor pantoprazol kan een opmerking worden gemaakt over de afwijking zodat duidelijk is dat pantoprazol de vervanger is van omeprazol of juist naast omeprazol moet worden gebruikt. Ander voorbeeld zijn de halve sterktes. Het ziekenhuis heeft soms de beschikking over tabletten met de halve sterkte van het normale handelspreparaat (eigen productie). Waar de patiënt het ziekenhuis ingaat met chlortalidon 25 mg, een maal daags een halve tablet krijgt hij intramuraal chlortalidon 12,5 mg, eenmaal daags één tablet. Dan hoeft de verpleging in dit geval geen tabletten te breken. Hier bestaat het risico dat de patiënt bij thuiskomst weer de 25 mg gaat gebruiken, maar dan een hele tablet per keer. Door een toelichting in de medicatieafspraak (Aanvullende informatie) van de laatste chlortalidon 25 mg kan worden aangegeven of dit een bewuste verhoging is geweest.

active

MedicationAgreement			MedicationAgreement	Element id MedicationAgreement Short description Medicatieafspraak Definition Rootconcept van de bouwsteen Medicatieafspraak. Dit rootconcept bevat alle gegevenselementen van de bouwsteen Medicatieafspraak. Data type MedicationAgreement 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 MedicationAgreement.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 MedicationAgreement.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
Prescriber	I	0..1	Reference(HdBe-HealthProfessional)	Element id MedicationAgreement.Prescriber Short description Voorschrijver Definition De zorgverlener die de medicatieafspraak met de patiënt heeft vastgelegd. 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)
PrescriptionReason	I	0..1	Reference(HdBe-Problem)	Element id MedicationAgreement.PrescriptionReason Short description RedenVanVoorschrijven Definition De medische reden voor het voorschrijven of gebruik van de medicatie. Hiermee kan een medische indicatie worden doorgegeven die de directe aanleiding vormde voor het voorschrijven of het gebruik van de betreffende medicatie. Het kan gaan om ieder type probleem (of conditie) van de patiënt, vrijwel steeds een diagnose, een klacht of een symptoom. 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-Problem) 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)
AgreedMedicine	I	1..1	Reference(HdBe-PharmaceuticalProduct)	Element id MedicationAgreement.AgreedMedicine Short description Afgesprokengeneesmiddel Definition Het afgesproken te gebruiken geneesmiddel. 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)
InstructionsForUse		0..1	HdBe-InstructionsForUse	Element id MedicationAgreement.InstructionsForUse Short description InstructionsForUse Definition Instructions for the use of the medication, e.g. dose and route of administration. Data type HdBe-InstructionsForUse Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MedicationAgreementDateTime		1..1	dateTime	Element id MedicationAgreement.MedicationAgreementDateTime Short description MedicatieafspraakDatumTijd Definition Het tijdstip waarop de afspraak gemaakt is. Afspraakdatum + tijd verplicht meegeven (er moet volgordelijkheid van de afspraken kunnen worden afgeleid bij meerdere medicatieafspraken op één dag) 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
PeriodOfUse		0..1	HdBe-TimeInterval	Element id MedicationAgreement.PeriodOfUse Short description PeriodOfUse Definition Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date. With medication for an indefinite period only a start date is indicated. Data type HdBe-TimeInterval Constraints ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` Mappings rim: n/a
MedicationAgreementStopType		0..1	CodeableConceptBinding	Element id MedicationAgreement.MedicationAgreementStopType Short description MedicatieafspraakStopType Definition Stop type, de manier waarop gestopt wordt met deze medicatie (tijdelijk of definitief). 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 MedicationAgreementStopType codes MedicationStopType (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
ReasonMedicationAgreement		0..1	CodeableConceptBinding	Element id MedicationAgreement.ReasonMedicationAgreement Short description RedenMedicatieafspraak Definition Reden voor het maken van deze medicatieafspraak. Dit kan de reden zijn om de medicatie te starten, te wijzigen of te stoppen. 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 ReasonMedicationAgreement codes MedicationReason (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
MedicationAgreementAdditionalInformation		0..*	CodeableConceptBinding	Element id MedicationAgreement.MedicationAgreementAdditionalInformation Short description MedicatieafspraakAanvullendeInformatie Definition Aanvullende informatie bevat een lijst van bijzonderheden over de gemaakte afspraak die van belang zijn voor de medicatiebewaking en invulling door de apotheker. Hiermee kan bijvoorbeeld worden aangegeven dat er bewust is afgeweken van wat gebruikelijk is of dat de afspraak op een bepaalde manier moet worden ingevuld. Zie ook de sectie Instructions voor meer informatie over het gebruik. 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 MedicationAgreementAdditionalInformation codes MedicationAgreementAdditionalInformation (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 MedicationAgreement.Comment Short description Toelichting Definition Opmerkingen met betrekking tot de medicatieafspraak. Bijvoorbeeld: in overleg met de specialist. 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

MedicationAgreement		0..*
MedicationAgreement.Prescriber	Reference(HdBe-HealthProfessional)	0..1
MedicationAgreement.PrescriptionReason	Reference(HdBe-Problem)	0..1
MedicationAgreement.AgreedMedicine	Reference(HdBe-PharmaceuticalProduct)	1..1
MedicationAgreement.InstructionsForUse	HdBe-InstructionsForUse	0..1
MedicationAgreement.MedicationAgreementDateTime	dateTime	1..1
MedicationAgreement.PeriodOfUse	HdBe-TimeInterval	0..1
MedicationAgreement.MedicationAgreementStopType	CodeableConcept	0..1
MedicationAgreement.ReasonMedicationAgreement	CodeableConcept	0..1
MedicationAgreement.MedicationAgreementAdditionalInformation	CodeableConcept	0..*
MedicationAgreement.Comment	string	0..1

MedicationAgreement
Definition	Root concept of the MedicationAgreement information model. This root concept contains all data elements of the MedicationAgreement 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
MedicationAgreement.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
MedicationAgreement.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
MedicationAgreement.Prescriber
Definition	The health professional that entered the medication agreement with the patient.
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)
MedicationAgreement.PrescriptionReason
Definition	The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. It can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms.
Cardinality	0...1
Type	Reference(HdBe-Problem)
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)
MedicationAgreement.AgreedMedicine
Definition	The medicine agreed upon to be used.
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)
MedicationAgreement.InstructionsForUse
Definition	Instructions for the use of the medication, e.g. dose and route of administration.
Cardinality	0...1
Type	HdBe-InstructionsForUse
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAgreement.MedicationAgreementDateTime
Definition	The time at which the agreement was made. Appointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day)
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
MedicationAgreement.PeriodOfUse
Definition	Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date. With medication for an indefinite period only a start date is indicated.
Cardinality	0...1
Type	HdBe-TimeInterval
Invariants	ele-1: All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim: n/a
MedicationAgreement.MedicationAgreementStopType
Definition	Stop type, the manner in which this medication is discontinued (temporary or definitive).
Cardinality	0...1
Type	CodeableConcept
Binding	MedicationAgreementStopType codes MedicationStopType (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
MedicationAgreement.ReasonMedicationAgreement
Definition	Reason for this agreement. This can be the reason to start, change or stop the medication treatment.
Cardinality	0...1
Type	CodeableConcept
Binding	ReasonMedicationAgreement codes MedicationReason (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
MedicationAgreement.MedicationAgreementAdditionalInformation
Definition	Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way. See also the Instructions section for more information about use of the element.
Cardinality	0...*
Type	CodeableConcept
Binding	MedicationAgreementAdditionalInformation codes MedicationAgreementAdditionalInformation (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
MedicationAgreement.Comment
Definition	Comments regarding to the medication agreement. For example: in consultation with the medical specialist.
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

MedicationAgreement
Prescriber	Reference to HealthProfessional (E. Penninx)
PrescriptionReason	Reference to Problem (Listeriosis)
AgreedMedicine	Reference to PharmaceuticalProduct (Acetaminophen 500 mg)
InstructionsForUse	Reference to InstructionsForUse (Vanaf 6 maart 2016 1x per week op maandag in de middag 500 mg)
MedicationAgreementDateTime	2016-03-04 15:52:30
PeriodOfUse	Reference to TimeInterval (start: 2016-03-06 )
MedicationAgreementStopType
ReasonMedicationAgreement	266709005 - Medication commenced (code by SNOMED CT)
MedicationAgreementAdditionalInformation
Comment

zib MedicationAgreement-v1.2 difference

Concept	Category	Description
`PrescriberReason`	textual	Removed context regarding the Dutch G-standard.
`MedicationAgreementStopType`	terminology	Renamed ValueSet from MedicationAgreementStopType to MedicationStopType, to be able to reuse it at MedicationUse and AdministrationAgreement. Also replaced Dutch SNOMED-CT codes with international codes in ValueSet MedicationStopType.
`ReasonMedicationAgreement`	terminology	Renamed ValueSet from MedicationAgreementReason to MedicationReason, to be able to reuse it at MedicationUse2. Replaced several values in ValueSet. 1. Added SNOMED-CT code for Unknown and Other. 2. Added CodeSystem MedicationReason which replaces all Dutch SNOMED-CT codes. 3. Removed all Dutch SNOMED-CT codes from valueset.
`MedicationAgreementAdditionalInformation`	terminology	Replaced several values in MedicationAgreementAdditionalInformation valueSet. 1. Replaced OTH with SNOMED-CT code for Other. 2. Added SNOMED-CT code for Unknown. 3. Added CodeSystem MedicationAgreementAdditionalInformation which replaces all Dutch SNOMED-CT codes. 4. Removed all Dutch SNOMED-CT codes from valueset.
description.Instructions	textual	Replaced 'a intended increase' with 'an intended increase'.

Terminology Bindings

Path	Name	Strength	URL
MedicationAgreementStopType	MedicationStopType	required	https://fhir.healthdata.be/ValueSet/MedicationStopType
ReasonMedicationAgreement	MedicationReason	required	https://fhir.healthdata.be/ValueSet/MedicationReason
MedicationAgreementAdditionalInformation	MedicationAgreementAdditionalInformation	required	https://fhir.healthdata.be/ValueSet/MedicationAgreementAdditionalInformation