HdBe-MedicationAdministration2
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HdBe-MedicationAdministration2 | 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. | draft | https://fhir.healthdata.be/StructureDefinition/HdBe-MedicationAdministration2 |
MedicationAdministration | I | MedicationAdministration | Element idMedicationAdministration MedicationAdministration Alternate namesMedicatieToediening DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationAdministration.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationAdministration.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationAdministration.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationAdministration.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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agreedDateTime | I | 0..1 | Extension(dateTime) | Element idMedicationAdministration.extension:agreedDateTime Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime
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value[x] | 0..1 | Element idMedicationAdministration.extension:agreedDateTime.value[x] AgreedDateTime Alternate namesAfgesprokenDatumTijd DefinitionDate 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.
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valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
doubleCheckPerformed | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:doubleCheckPerformed Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed
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value[x] | 0..1 | Element idMedicationAdministration.extension:doubleCheckPerformed.value[x] DoubleCheckPerformed Alternate namesDubbeleControleUitgevoerd DefinitionWas a double check performed prior to the administration? This is only legally required for certain medication. MedicationAdministration has another way to capture that a double check has been performed, namely by marking a performer as verifier. Therefore, if a
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
deviatingAdministration | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:deviatingAdministration Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration
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value[x] | 0..1 | Element idMedicationAdministration.extension:deviatingAdministration.value[x] DeviatingAdministration Alternate namesAfwijkendeToediening DefinitionIn 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.
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
medicationAdministrationReasonForDeviation | I | 0..1 | Extension(CodeableConcept) | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation
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value[x] | 0..1 | Binding | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x] MedicationAdministrationReasonForDeviation Alternate namesMedicatieToedieningRedenVanAfwijken DefinitionReason 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. This MedicationAdministrationReasonForDeviation extension has overlap with MedicationAdministrationReasonForDeviation (required) Constraints
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element idMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element idMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. 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. Reference(MedicationAdministration | Procedure) Constraints
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status | Σ ?! | 1..1 | codeBinding | Element idMedicationAdministration.status MedicationAdministrationStatus Alternate namesMedicatieToedieningStatus DefinitionThe 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’. When documenting this, the following interpretations are used:
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Use ConceptMap 'MedicationAdministrationStatus-to-MedicationAdministrationStatus' to translate CBB terminology to profile terminology in ValueSet 'MedicationAdministrationStatus'. Permitted Values MedicationAdministrationStatus_to_MedicationAdministrationStatusCodes Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. 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. A set of codes indicating the reason why the MedicationAdministration is negated.
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category | 1..1 | CodeableConceptBindingPattern | Element idMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. 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. A coded concept describing where the medication administered is expected to occur.
{ "coding": [ { "system": "http://snomed.info/sct", "code": "18629005" } ] }
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medication[x] | Σ | 1..1 | Element idMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) BindingCodes identifying substance or product that can be administered.
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medicationCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
medicationReference | Σ | 0..1 | Reference(Medication | HdBe-PharmaceuticalProduct) | Element idMedicationAdministration.medication[x]:medicationReference AdministrationProduct Alternate namesToedieningsProduct DefinitionThe 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. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Reference(Medication | HdBe-PharmaceuticalProduct) Constraints
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subject | Σ I | 1..1 | Reference(Patient | Group | HdBe-Patient) | Element idMedicationAdministration.subject Who received medication DefinitionThe person or animal or group receiving the medication. 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. Reference(Patient | Group | HdBe-Patient) Constraints
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context | I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. 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. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | Element idMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. 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. Unordered, Open, by resolve()(Profile) Constraints
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administrationAgreement | I | 0..1 | Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) | Element idMedicationAdministration.supportingInformation:administrationAgreement AdministrationAgreement Alternate namesToedieningsafspraak DefinitionAdministration agreement on which this administration is based. 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. Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) Constraints
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effective[x] | Σ | 1..1 | Element idMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectivePeriod | Period | There are no (further) constraints on this element Data type | ||
effectiveDateTime | Σ | 0..1 | dateTime | Element idMedicationAdministration.effective[x]:effectiveDateTime AdministrationDateTime Alternate namesToedieningsDatumTijd DefinitionThe date and time at which the medication was administered.
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performer | Σ | 0..1 | BackboneElement | Element idMedicationAdministration.performer Administrator Alternate namesToediener DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. 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. A code describing the role an individual played in administering the medication.
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actor | Σ I | 1..1 | pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) | Element idMedicationAdministration.performer.actor Patient / HealthProfessional / Caregiver Alternate namesPatiënt, Zorgverlener, Mantelzorger DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example. Each occurrence of the CBB HealthProfessional is normally represented by two FHIR resources: a PractitionerRole resource (instance of HdBe-HealthProfessional-PractitionerRole) and a Practitioner resource (instance of HdBe-HealthProfessional-Practitioner). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the HdBe-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile. pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) Constraints
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reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. 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. A set of codes indicating the reason why the MedicationAdministration was made.
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reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element idMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | I | 0..1 | Reference(HdBe-MedicationAgreement | MedicationRequest) | Element idMedicationAdministration.request MedicationAgreement Alternate namesMedicatieafspraak DefinitionMedication agreement on which this administration is based. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value. Reference(HdBe-MedicationAgreement | MedicationRequest) Constraints
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element idMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. 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.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationAdministration.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationAdministration.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idMedicationAdministration.note.text Comment Alternate namesToelichting DefinitionComments on administering the medication. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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dosage | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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administeringSpeedRange | I | 0..1 | Extension(Range) | Element idMedicationAdministration.dosage.extension:administeringSpeedRange Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange
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value[x] | 0..1 | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x] AdministeringSpeed Alternate namesToedieningssnelheid DefinitionThe 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:
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valueRange | Range | There are no (further) constraints on this element Data type | ||
id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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low | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].low minimumValue Alternate namesminimumWaarde DefinitionThe minimal value of the range. The boundary is inclusive. If the low element is missing, the low boundary is not known.
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high | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].high maximumValue Alternate namesmaximumWaarde DefinitionThe maximum value of the range. The boundary is inclusive. If the high element is missing, the high boundary is not known.
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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text | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body.
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route | 0..1 | CodeableConceptBinding | Element idMedicationAdministration.dosage.route RouteOfAdministration Alternate namesToedieningsweg DefinitionThe route through which the medication is administered (oral, nasal, intravenous,...). 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. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered.
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dose | I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.dose AdministeredAmount Alternate namesToegediendeHoeveelheid DefinitionAmount of the administered product. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
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rate[x] | 0..1 | Element idMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
rateQuantity | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.rate[x]:rateQuantity AdministeringSpeed / nominalValue Alternate namesToedieningssnelheid, nominaleWaarde DefinitionThe 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:
The extension MedicationAdministration2AdministeringSpeedRange extends
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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MedicationAdministration | I | MedicationAdministration | Element idMedicationAdministration MedicationAdministration Alternate namesMedicatieToediening DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationAdministration.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationAdministration.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationAdministration.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationAdministration.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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agreedDateTime | I | 0..1 | Extension(dateTime) | Element idMedicationAdministration.extension:agreedDateTime Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime
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value[x] | 0..1 | Element idMedicationAdministration.extension:agreedDateTime.value[x] AgreedDateTime Alternate namesAfgesprokenDatumTijd DefinitionDate 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.
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valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
doubleCheckPerformed | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:doubleCheckPerformed Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed
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value[x] | 0..1 | Element idMedicationAdministration.extension:doubleCheckPerformed.value[x] DoubleCheckPerformed Alternate namesDubbeleControleUitgevoerd DefinitionWas a double check performed prior to the administration? This is only legally required for certain medication. MedicationAdministration has another way to capture that a double check has been performed, namely by marking a performer as verifier. Therefore, if a
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
deviatingAdministration | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:deviatingAdministration Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration
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value[x] | 0..1 | Element idMedicationAdministration.extension:deviatingAdministration.value[x] DeviatingAdministration Alternate namesAfwijkendeToediening DefinitionIn 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.
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
medicationAdministrationReasonForDeviation | I | 0..1 | Extension(CodeableConcept) | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation
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value[x] | 0..1 | Binding | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x] MedicationAdministrationReasonForDeviation Alternate namesMedicatieToedieningRedenVanAfwijken DefinitionReason 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. This MedicationAdministrationReasonForDeviation extension has overlap with MedicationAdministrationReasonForDeviation (required) Constraints
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element idMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element idMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. 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. Reference(MedicationAdministration | Procedure) Constraints
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status | Σ ?! | 1..1 | codeBinding | Element idMedicationAdministration.status MedicationAdministrationStatus Alternate namesMedicatieToedieningStatus DefinitionThe 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’. When documenting this, the following interpretations are used:
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Use ConceptMap 'MedicationAdministrationStatus-to-MedicationAdministrationStatus' to translate CBB terminology to profile terminology in ValueSet 'MedicationAdministrationStatus'. Permitted Values MedicationAdministrationStatus_to_MedicationAdministrationStatusCodes Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. 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. A set of codes indicating the reason why the MedicationAdministration is negated.
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category | 1..1 | CodeableConceptBindingPattern | Element idMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. 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. A coded concept describing where the medication administered is expected to occur.
{ "coding": [ { "system": "http://snomed.info/sct", "code": "18629005" } ] }
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medication[x] | Σ | 1..1 | Element idMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) BindingCodes identifying substance or product that can be administered.
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medicationCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
medicationReference | Σ | 0..1 | Reference(Medication | HdBe-PharmaceuticalProduct) | Element idMedicationAdministration.medication[x]:medicationReference AdministrationProduct Alternate namesToedieningsProduct DefinitionThe 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. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Reference(Medication | HdBe-PharmaceuticalProduct) Constraints
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subject | Σ I | 1..1 | Reference(Patient | Group | HdBe-Patient) | Element idMedicationAdministration.subject Who received medication DefinitionThe person or animal or group receiving the medication. 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. Reference(Patient | Group | HdBe-Patient) Constraints
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context | I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. 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. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | Element idMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. 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. Unordered, Open, by resolve()(Profile) Constraints
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administrationAgreement | I | 0..1 | Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) | Element idMedicationAdministration.supportingInformation:administrationAgreement AdministrationAgreement Alternate namesToedieningsafspraak DefinitionAdministration agreement on which this administration is based. 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. Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) Constraints
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effective[x] | Σ | 1..1 | Element idMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectivePeriod | Period | There are no (further) constraints on this element Data type | ||
effectiveDateTime | Σ | 0..1 | dateTime | Element idMedicationAdministration.effective[x]:effectiveDateTime AdministrationDateTime Alternate namesToedieningsDatumTijd DefinitionThe date and time at which the medication was administered.
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performer | Σ | 0..1 | BackboneElement | Element idMedicationAdministration.performer Administrator Alternate namesToediener DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. 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. A code describing the role an individual played in administering the medication.
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actor | Σ I | 1..1 | pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) | Element idMedicationAdministration.performer.actor Patient / HealthProfessional / Caregiver Alternate namesPatiënt, Zorgverlener, Mantelzorger DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example. Each occurrence of the CBB HealthProfessional is normally represented by two FHIR resources: a PractitionerRole resource (instance of HdBe-HealthProfessional-PractitionerRole) and a Practitioner resource (instance of HdBe-HealthProfessional-Practitioner). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the HdBe-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile. pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) Constraints
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reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. 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. A set of codes indicating the reason why the MedicationAdministration was made.
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reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element idMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | I | 0..1 | Reference(HdBe-MedicationAgreement | MedicationRequest) | Element idMedicationAdministration.request MedicationAgreement Alternate namesMedicatieafspraak DefinitionMedication agreement on which this administration is based. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value. Reference(HdBe-MedicationAgreement | MedicationRequest) Constraints
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element idMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. 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.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationAdministration.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationAdministration.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idMedicationAdministration.note.text Comment Alternate namesToelichting DefinitionComments on administering the medication. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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dosage | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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administeringSpeedRange | I | 0..1 | Extension(Range) | Element idMedicationAdministration.dosage.extension:administeringSpeedRange Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange
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value[x] | 0..1 | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x] AdministeringSpeed Alternate namesToedieningssnelheid DefinitionThe 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:
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valueRange | Range | There are no (further) constraints on this element Data type | ||
id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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low | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].low minimumValue Alternate namesminimumWaarde DefinitionThe minimal value of the range. The boundary is inclusive. If the low element is missing, the low boundary is not known.
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high | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].high maximumValue Alternate namesmaximumWaarde DefinitionThe maximum value of the range. The boundary is inclusive. If the high element is missing, the high boundary is not known.
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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text | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body.
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route | 0..1 | CodeableConceptBinding | Element idMedicationAdministration.dosage.route RouteOfAdministration Alternate namesToedieningsweg DefinitionThe route through which the medication is administered (oral, nasal, intravenous,...). 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. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered.
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dose | I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.dose AdministeredAmount Alternate namesToegediendeHoeveelheid DefinitionAmount of the administered product. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
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rate[x] | 0..1 | Element idMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
rateQuantity | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.rate[x]:rateQuantity AdministeringSpeed / nominalValue Alternate namesToedieningssnelheid, nominaleWaarde DefinitionThe 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:
The extension MedicationAdministration2AdministeringSpeedRange extends
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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MedicationAdministration | I | MedicationAdministration | Element idMedicationAdministration MedicationAdministration Alternate namesMedicatieToediening DefinitionDescribes the event of a patient consuming or otherwise being administered a medication. This may be as simple as swallowing a tablet or it may be a long running infusion. Related resources tie this event to the authorizing prescription, and the specific encounter between patient and health care practitioner.
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id | Σ | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.id Logical id of this artifact DefinitionThe logical id of the resource, as used in the URL for the resource. Once assigned, this value never changes. The only time that a resource does not have an id is when it is being submitted to the server using a create operation. |
meta | Σ | 0..1 | Meta | There are no (further) constraints on this element Element idMedicationAdministration.meta Metadata about the resource DefinitionThe metadata about the resource. This is content that is maintained by the infrastructure. Changes to the content might not always be associated with version changes to the resource.
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implicitRules | Σ ?! | 0..1 | uri | There are no (further) constraints on this element Element idMedicationAdministration.implicitRules A set of rules under which this content was created DefinitionA reference to a set of rules that were followed when the resource was constructed, and which must be understood when processing the content. Often, this is a reference to an implementation guide that defines the special rules along with other profiles etc. Asserting this rule set restricts the content to be only understood by a limited set of trading partners. This inherently limits the usefulness of the data in the long term. However, the existing health eco-system is highly fractured, and not yet ready to define, collect, and exchange data in a generally computable sense. Wherever possible, implementers and/or specification writers should avoid using this element. Often, when used, the URL is a reference to an implementation guide that defines these special rules as part of it's narrative along with other profiles, value sets, etc.
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language | 0..1 | codeBinding | There are no (further) constraints on this element Element idMedicationAdministration.language Language of the resource content DefinitionThe base language in which the resource is written. Language is provided to support indexing and accessibility (typically, services such as text to speech use the language tag). The html language tag in the narrative applies to the narrative. The language tag on the resource may be used to specify the language of other presentations generated from the data in the resource. Not all the content has to be in the base language. The Resource.language should not be assumed to apply to the narrative automatically. If a language is specified, it should it also be specified on the div element in the html (see rules in HTML5 for information about the relationship between xml:lang and the html lang attribute). A human language.
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text | 0..1 | Narrative | There are no (further) constraints on this element Element idMedicationAdministration.text Text summary of the resource, for human interpretation Alternate namesnarrative, html, xhtml, display DefinitionA human-readable narrative that contains a summary of the resource and can be used to represent the content of the resource to a human. The narrative need not encode all the structured data, but is required to contain sufficient detail to make it "clinically safe" for a human to just read the narrative. Resource definitions may define what content should be represented in the narrative to ensure clinical safety. Contained resources do not have narrative. Resources that are not contained SHOULD have a narrative. In some cases, a resource may only have text with little or no additional discrete data (as long as all minOccurs=1 elements are satisfied). This may be necessary for data from legacy systems where information is captured as a "text blob" or where text is additionally entered raw or narrated and encoded information is added later.
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contained | 0..* | Resource | There are no (further) constraints on this element Element idMedicationAdministration.contained Contained, inline Resources Alternate namesinline resources, anonymous resources, contained resources DefinitionThese resources do not have an independent existence apart from the resource that contains them - they cannot be identified independently, and nor can they have their own independent transaction scope. This should never be done when the content can be identified properly, as once identification is lost, it is extremely difficult (and context dependent) to restore it again. Contained resources may have profiles and tags In their meta elements, but SHALL NOT have security labels.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource. 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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agreedDateTime | I | 0..1 | Extension(dateTime) | Element idMedicationAdministration.extension:agreedDateTime Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:agreedDateTime.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AgreedDateTime
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value[x] | 0..1 | Element idMedicationAdministration.extension:agreedDateTime.value[x] AgreedDateTime Alternate namesAfgesprokenDatumTijd DefinitionDate 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.
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valueDateTime | dateTime | There are no (further) constraints on this element Data type | ||
doubleCheckPerformed | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:doubleCheckPerformed Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:doubleCheckPerformed.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DoubleCheckPerformed
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value[x] | 0..1 | Element idMedicationAdministration.extension:doubleCheckPerformed.value[x] DoubleCheckPerformed Alternate namesDubbeleControleUitgevoerd DefinitionWas a double check performed prior to the administration? This is only legally required for certain medication. MedicationAdministration has another way to capture that a double check has been performed, namely by marking a performer as verifier. Therefore, if a
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
deviatingAdministration | I | 0..1 | Extension(boolean) | Element idMedicationAdministration.extension:deviatingAdministration Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:deviatingAdministration.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.DeviatingAdministration
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value[x] | 0..1 | Element idMedicationAdministration.extension:deviatingAdministration.value[x] DeviatingAdministration Alternate namesAfwijkendeToediening DefinitionIn 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.
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valueBoolean | boolean | There are no (further) constraints on this element Data type | ||
medicationAdministrationReasonForDeviation | I | 0..1 | Extension(CodeableConcept) | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.ReasonForDeviation
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value[x] | 0..1 | Binding | Element idMedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x] MedicationAdministrationReasonForDeviation Alternate namesMedicatieToedieningRedenVanAfwijken DefinitionReason 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. This MedicationAdministrationReasonForDeviation extension has overlap with MedicationAdministrationReasonForDeviation (required) Constraints
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valueCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
modifierExtension | ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.modifierExtension Extensions that cannot be ignored Alternate namesextensions, user content DefinitionMay be used to represent additional information that is not part of the basic definition of the resource and that modifies the understanding of the element that contains it 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 is allowed to define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself). 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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identifier | 0..* | Identifier | There are no (further) constraints on this element Element idMedicationAdministration.identifier External identifier DefinitionIdentifiers associated with this Medication Administration that are defined by business processes and/or used to refer to it when a direct URL reference to the resource itself is not appropriate. They are business identifiers assigned to this resource by the performer or other systems and remain constant as the resource is updated and propagates from server to server. This is a business identifier, not a resource identifier.
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instantiates | Σ | 0..* | uri | There are no (further) constraints on this element Element idMedicationAdministration.instantiates Instantiates protocol or definition DefinitionA protocol, guideline, orderset, or other definition that was adhered to in whole or in part by this event. see http://en.wikipedia.org/wiki/Uniform_resource_identifier
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partOf | Σ I | 0..* | Reference(MedicationAdministration | Procedure) | There are no (further) constraints on this element Element idMedicationAdministration.partOf Part of referenced event DefinitionA larger event of which this particular event is a component or step. 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. Reference(MedicationAdministration | Procedure) Constraints
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status | Σ ?! | 1..1 | codeBinding | Element idMedicationAdministration.status MedicationAdministrationStatus Alternate namesMedicatieToedieningStatus DefinitionThe 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’. When documenting this, the following interpretations are used:
This element is labeled as a modifier because the status contains codes that mark the resource as not currently valid. Use ConceptMap 'MedicationAdministrationStatus-to-MedicationAdministrationStatus' to translate CBB terminology to profile terminology in ValueSet 'MedicationAdministrationStatus'. Permitted Values MedicationAdministrationStatus_to_MedicationAdministrationStatusCodes Constraints
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statusReason | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.statusReason Reason administration not performed DefinitionA code indicating why the administration was not performed. 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. A set of codes indicating the reason why the MedicationAdministration is negated.
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category | 1..1 | CodeableConceptBindingPattern | Element idMedicationAdministration.category Type of medication usage DefinitionIndicates where the medication is expected to be consumed or administered. 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. A coded concept describing where the medication administered is expected to occur.
{ "coding": [ { "system": "http://snomed.info/sct", "code": "18629005" } ] }
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medication[x] | Σ | 1..1 | Element idMedicationAdministration.medication[x] What was administered DefinitionIdentifies the medication that was administered. This is either a link to a resource representing the details of the medication or a simple attribute carrying a code that identifies the medication from a known list of medications. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Unordered, Open, by $this(Type) BindingCodes identifying substance or product that can be administered.
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medicationCodeableConcept | CodeableConcept | There are no (further) constraints on this element Data type | ||
medicationReference | Σ | 0..1 | Reference(Medication | HdBe-PharmaceuticalProduct) | Element idMedicationAdministration.medication[x]:medicationReference AdministrationProduct Alternate namesToedieningsProduct DefinitionThe 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. If only a code is specified, then it needs to be a code for a specific product. If more information is required, then the use of the medication resource is recommended. For example, if you require form or lot number, then you must reference the Medication resource. Reference(Medication | HdBe-PharmaceuticalProduct) Constraints
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subject | Σ I | 1..1 | Reference(Patient | Group | HdBe-Patient) | Element idMedicationAdministration.subject Who received medication DefinitionThe person or animal or group receiving the medication. 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. Reference(Patient | Group | HdBe-Patient) Constraints
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context | I | 0..1 | Reference(Encounter | EpisodeOfCare) | There are no (further) constraints on this element Element idMedicationAdministration.context Encounter or Episode of Care administered as part of DefinitionThe visit, admission, or other contact between patient and health care provider during which the medication administration was performed. 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. Reference(Encounter | EpisodeOfCare) Constraints
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supportingInformation | I | 0..* | Reference(Resource) | Element idMedicationAdministration.supportingInformation Additional information to support administration DefinitionAdditional information (for example, patient height and weight) that supports the administration of the medication. 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. Unordered, Open, by resolve()(Profile) Constraints
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administrationAgreement | I | 0..1 | Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) | Element idMedicationAdministration.supportingInformation:administrationAgreement AdministrationAgreement Alternate namesToedieningsafspraak DefinitionAdministration agreement on which this administration is based. 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. Reference(Resource | https://fhir.healthdata.be/StructureDefinition/HdBe-AdministrationAgreement) Constraints
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effective[x] | Σ | 1..1 | Element idMedicationAdministration.effective[x] Start and end time of administration DefinitionA specific date/time or interval of time during which the administration took place (or did not take place, when the 'notGiven' attribute is true). For many administrations, such as swallowing a tablet the use of dateTime is more appropriate. Unordered, Open, by $this(Type) Constraints
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effectivePeriod | Period | There are no (further) constraints on this element Data type | ||
effectiveDateTime | Σ | 0..1 | dateTime | Element idMedicationAdministration.effective[x]:effectiveDateTime AdministrationDateTime Alternate namesToedieningsDatumTijd DefinitionThe date and time at which the medication was administered.
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performer | Σ | 0..1 | BackboneElement | Element idMedicationAdministration.performer Administrator Alternate namesToediener DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.performer.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.performer.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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function | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.performer.function Type of performance DefinitionDistinguishes the type of involvement of the performer in the medication administration. 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. A code describing the role an individual played in administering the medication.
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actor | Σ I | 1..1 | pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) | Element idMedicationAdministration.performer.actor Patient / HealthProfessional / Caregiver Alternate namesPatiënt, Zorgverlener, Mantelzorger DefinitionThe concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example. Each occurrence of the CBB HealthProfessional is normally represented by two FHIR resources: a PractitionerRole resource (instance of HdBe-HealthProfessional-PractitionerRole) and a Practitioner resource (instance of HdBe-HealthProfessional-Practitioner). The Practitioner resource is referenced from the PractitionerRole instance. For this reason, sending systems should fill the reference to the PractitionerRole instance here, and not the Practitioner resource. Receiving systems can then retrieve the reference to the Practitioner resource from that PractitionerRole instance. In rare circumstances, there is only a Practitioner instance, in which case it is that instance which will be referenced here. However, since this should be the exception, the HdBe-HealthProfessional-Practitioner profile is not explicitly mentioned as a target profile. pattern HealthProfessional Reference(Practitioner | PractitionerRole | Patient | RelatedPerson | Device | HdBe-Patient | HdBe-HealthProfessional PractitionerRole | HdBe-ContactPerson) Constraints
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reasonCode | 0..* | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.reasonCode Reason administration performed DefinitionA code indicating why the medication was given. 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. A set of codes indicating the reason why the MedicationAdministration was made.
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reasonReference | I | 0..* | Reference(Condition | Observation | DiagnosticReport) | There are no (further) constraints on this element Element idMedicationAdministration.reasonReference Condition or observation that supports why the medication was administered DefinitionCondition or observation that supports why the medication was administered. This is a reference to a condition that is the reason for the medication request. If only a code exists, use reasonCode. Reference(Condition | Observation | DiagnosticReport) Constraints
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request | I | 0..1 | Reference(HdBe-MedicationAgreement | MedicationRequest) | Element idMedicationAdministration.request MedicationAgreement Alternate namesMedicatieafspraak DefinitionMedication agreement on which this administration is based. This is a reference to the MedicationRequest where the intent is either order or instance-order. It should not reference MedicationRequests where the intent is any other value. Reference(HdBe-MedicationAgreement | MedicationRequest) Constraints
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device | I | 0..* | Reference(Device) | There are no (further) constraints on this element Element idMedicationAdministration.device Device used to administer DefinitionThe device used in administering the medication to the patient. For example, a particular infusion pump. 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.
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note | 0..1 | Annotation | There are no (further) constraints on this element Element idMedicationAdministration.note Information about the administration DefinitionExtra information about the medication administration that is not conveyed by the other attributes. For systems that do not have structured annotations, they can simply communicate a single annotation with no author or time. This element may need to be included in narrative because of the potential for modifying information. Annotations SHOULD NOT be used to communicate "modifying" information that could be computable. (This is a SHOULD because enforcing user behavior is nearly impossible).
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.note.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.note.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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author[x] | Σ | 0..1 | There are no (further) constraints on this element Element idMedicationAdministration.note.author[x] Individual responsible for the annotation DefinitionThe individual responsible for making the annotation. Organization is used when there's no need for specific attribution as to who made the comment.
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authorString | string | There are no (further) constraints on this element Data type | ||
authorReference | Reference(Practitioner | Patient | RelatedPerson | Organization) | There are no (further) constraints on this element Data type Reference(Practitioner | Patient | RelatedPerson | Organization) | ||
time | Σ | 0..1 | dateTime | There are no (further) constraints on this element Element idMedicationAdministration.note.time When the annotation was made DefinitionIndicates when this particular annotation was made.
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text | Σ | 1..1 | markdown | Element idMedicationAdministration.note.text Comment Alternate namesToelichting DefinitionComments on administering the medication. Systems are not required to have markdown support, so the text should be readable without markdown processing. The markdown syntax is GFM - see https://github.github.com/gfm/
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dosage | I | 0..1 | BackboneElement | There are no (further) constraints on this element Element idMedicationAdministration.dosage Details of how medication was taken DefinitionDescribes the medication dosage information details e.g. dose, rate, site, route, etc.
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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administeringSpeedRange | I | 0..1 | Extension(Range) | Element idMedicationAdministration.dosage.extension:administeringSpeedRange Optional Extensions Element Alternate namesextensions, user content DefinitionOptional Extension Element - found in all resources. 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. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange Constraints
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id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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url | 1..1 | uriFixed Value | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.url identifies the meaning of the extension DefinitionSource of the definition for the extension code - a logical name or a URL. The definition may point directly to a computable or human-readable definition of the extensibility codes, or it may be a logical URI as declared in some other specification. The definition SHALL be a URI for the Structure Definition defining the extension. https://fhir.healthdata.be/StructureDefinition/ext-MedicationAdministration2.AdministeringSpeedRange
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value[x] | 0..1 | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x] AdministeringSpeed Alternate namesToedieningssnelheid DefinitionThe 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:
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valueRange | Range | There are no (further) constraints on this element Data type | ||
id | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].id Unique id for inter-element referencing DefinitionUnique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
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extension | I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].extension Additional content defined by implementations Alternate namesextensions, user content DefinitionMay 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. 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. Unordered, Open, by url(Value) Extensions are always sliced by (at least) url Constraints
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low | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].low minimumValue Alternate namesminimumWaarde DefinitionThe minimal value of the range. The boundary is inclusive. If the low element is missing, the low boundary is not known.
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high | Σ I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.extension:administeringSpeedRange.value[x].high maximumValue Alternate namesmaximumWaarde DefinitionThe maximum value of the range. The boundary is inclusive. If the high element is missing, the high boundary is not known.
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modifierExtension | Σ ?! I | 0..* | Extension | There are no (further) constraints on this element Element idMedicationAdministration.dosage.modifierExtension Extensions that cannot be ignored even if unrecognized Alternate namesextensions, user content, modifiers DefinitionMay 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). 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. 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.
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text | 0..1 | string | There are no (further) constraints on this element Element idMedicationAdministration.dosage.text Free text dosage instructions e.g. SIG DefinitionFree text dosage can be used for cases where the dosage administered is too complex to code. When coded dosage is present, the free text dosage may still be present for display to humans. The dosage instructions should reflect the dosage of the medication that was administered. Note that FHIR strings SHALL NOT exceed 1MB in size
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site | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.site Body site administered to DefinitionA coded specification of the anatomic site where the medication first entered the body. For example, "left arm". If the use case requires attributes from the BodySite resource (e.g. to identify and track separately) then use the standard extension bodySite. May be a summary code, or a reference to a very precise definition of the location, or both. A coded concept describing the site location the medicine enters into or onto the body.
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route | 0..1 | CodeableConceptBinding | Element idMedicationAdministration.dosage.route RouteOfAdministration Alternate namesToedieningsweg DefinitionThe route through which the medication is administered (oral, nasal, intravenous,...). 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. A coded concept describing the route or physiological path of administration of a therapeutic agent into or onto the body of a subject.
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method | 0..1 | CodeableConcept | There are no (further) constraints on this element Element idMedicationAdministration.dosage.method How drug was administered DefinitionA coded value indicating the method by which the medication is intended to be or was introduced into or on the body. This attribute will most often NOT be populated. It is most commonly used for injections. For example, Slow Push, Deep IV. One of the reasons this attribute is not used often, is that the method is often pre-coordinated with the route and/or form of administration. This means the codes used in route or form may pre-coordinate the method in the route code or the form code. The implementation decision about what coding system to use for route or form code will determine how frequently the method code will be populated e.g. if route or form code pre-coordinate method code, then this attribute will not be populated often; if there is no pre-coordination then method code may be used frequently. A coded concept describing the technique by which the medicine is administered.
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dose | I | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.dose AdministeredAmount Alternate namesToegediendeHoeveelheid DefinitionAmount of the administered product. If the administration is not instantaneous (rate is present), this can be specified to convey the total amount administered over period of time of a single administration.
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rate[x] | 0..1 | Element idMedicationAdministration.dosage.rate[x] Dose quantity per unit of time DefinitionIdentifies the speed with which the medication was or will be introduced into the patient. Typically, the rate for an infusion e.g. 100 ml per 1 hour or 100 ml/hr. May also be expressed as a rate per unit of time, e.g. 500 ml per 2 hours. Other examples: 200 mcg/min or 200 mcg/1 minute; 1 liter/8 hours. If the rate changes over time, and you want to capture this in MedicationAdministration, then each change should be captured as a distinct MedicationAdministration, with a specific MedicationAdministration.dosage.rate, and the date time when the rate change occurred. Typically, the MedicationAdministration.dosage.rate element is not used to convey an average rate. Unordered, Open, by $this(Type) Constraints
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rateRatio | Ratio | There are no (further) constraints on this element Data type | ||
rateQuantity | 0..1 | SimpleQuantity | Element idMedicationAdministration.dosage.rate[x]:rateQuantity AdministeringSpeed / nominalValue Alternate namesToedieningssnelheid, nominaleWaarde DefinitionThe 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:
The extension MedicationAdministration2AdministeringSpeedRange extends
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eventHistory | I | 0..* | Reference(Provenance) | There are no (further) constraints on this element Element idMedicationAdministration.eventHistory A list of events of interest in the lifecycle DefinitionA summary of the events of interest that have occurred, such as when the administration was verified. This might not include provenances for all versions of the request – only those deemed “relevant” or important. This SHALL NOT include the Provenance associated with this current version of the resource. (If that provenance is deemed to be a “relevant” change, it will need to be added as part of a later update. Until then, it can be queried directly as the Provenance that points to this version using _revinclude All Provenances should have some historical version of this Request as their subject.
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Mapping FHIR profile to CBB
Path | map | CBB |
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MedicationAdministration | MedicationAdministration2 | HdBe-MedicationAdministration2 |
MedicationAdministration.extension:agreedDateTime.value[x] | MedicationAdministration2.AgreedDateTime | HdBe-MedicationAdministration2 |
MedicationAdministration.extension:doubleCheckPerformed.value[x] | MedicationAdministration2.DoubleCheckPerformed | HdBe-MedicationAdministration2 |
MedicationAdministration.extension:deviatingAdministration.value[x] | MedicationAdministration2.DeviatingAdministration | HdBe-MedicationAdministration2 |
MedicationAdministration.extension:medicationAdministrationReasonForDeviation.value[x] | MedicationAdministration2.MedicationAdministrationReasonForDeviation | HdBe-MedicationAdministration2 |
MedicationAdministration.status | MedicationAdministration2.MedicationAdministrationStatus | HdBe-MedicationAdministration2 |
MedicationAdministration.medication[x]:medicationReference | MedicationAdministration2.AdministrationProduct | HdBe-MedicationAdministration2 |
MedicationAdministration.supportingInformation:administrationAgreement | MedicationAdministration2.RelatedAgreement.AdministrationAgreement | HdBe-MedicationAdministration2 |
MedicationAdministration.effective[x]:effectiveDateTime | MedicationAdministration2.AdministrationDateTime | HdBe-MedicationAdministration2 |
MedicationAdministration.performer | MedicationAdministration2.Administrator | HdBe-MedicationAdministration2 |
MedicationAdministration.performer.actor | MedicationAdministration2.Administrator.Patient | HdBe-MedicationAdministration2 |
MedicationAdministration.performer.actor | MedicationAdministration2.Administrator.HealthProfessional | HdBe-MedicationAdministration2 |
MedicationAdministration.performer.actor | MedicationAdministration2.Administrator.Caregiver | HdBe-MedicationAdministration2 |
MedicationAdministration.request | MedicationAdministration2.RelatedAgreement.MedicationAgreement | HdBe-MedicationAdministration2 |
MedicationAdministration.note.text | MedicationAdministration2.Comment | HdBe-MedicationAdministration2 |
MedicationAdministration.dosage.extension:administeringSpeedRange.value[x] | MedicationAdministration2.AdministeringSpeed | HdBe-MedicationAdministration2 |
MedicationAdministration.dosage.route | MedicationAdministration2.RouteOfAdministration | HdBe-MedicationAdministration2 |
MedicationAdministration.dosage.dose | MedicationAdministration2.AdministeredAmount | HdBe-MedicationAdministration2 |
MedicationAdministration.dosage.rate[x]:rateQuantity | MedicationAdministration2.AdministeringSpeed | HdBe-MedicationAdministration2 |
MedicationAdministration.dosage.extension:administeringSpeedRange.value[x].low | MinimumValue | HdBe-Range |
MedicationAdministration.dosage.extension:administeringSpeedRange.value[x].high | MaximumValue | HdBe-Range |
MedicationAdministration.dosage.rate[x]:rateQuantity | Range.NominalValue | HdBe-Range |
zib MedicationAdministration difference
Concept | Category | Description |
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status |
terminology | Replaced codes of the MedicationAdministrationStatus ValueSet with SNOMED codes where applicable and added the CodeSystem MedicationAdministrationStatus for the replacement of other codes. |
status |
terminology | Adapted ConceptMap-MedicationAdministrationStatus-to-MedicationAdministrationStatus to align source mappings with the adapted MedicationAdministrationStatus ValueSet. |
status |
textual | Aligned description of the values with the used valueSet. |
dosage.route |
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. |
dosage.dose |
type | Removed pattern-GstdQuantity as Quantity type because the Dutch Gstandard is not used. |
performer.actor |
textual | Improved definition by stating that the actor can also be a patient or a caregiver. Only a health professional was mentionend. |
dosage.rate[x].rateQuantity |
textual | Removed context about use of Dutch NHG table. |
dosage.extension:administeringSpeedRange.value[x] |
textual | Removed context about use of Dutch NHG table. |
extension:doubleCheckPerformed.value[x] |
textual | Fixed typo: verfier --> verifier |
extension:medicationAdministrationReasonForDeviation.value[x] |
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 the CodeSystem MedicationAdministrationReasonForDeviation. |
extension:agreedDateTime.value[x] |
textual | Aligned definition with CBB's definition. |
Terminology Bindings
Path | Name | Strength | URL | ConceptMap |
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MedicationAdministration.status | medication-admin-status|4.0.1 | required | http://hl7.org/fhir/ValueSet/medication-admin-status|4.0.1 | |
MedicationAdministration.dosage.route | RouteOfMedicationAdministration | required | https://fhir.healthdata.be/ValueSet/RouteOfMedicationAdministration | No bound ConceptMap |