HdBe-MedicationAdministration2

Profile	Status	URL
HdBe-MedicationAdministration2	draft	https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-MedicationAdministration2

medication_administration			medication_administration	There are no (further) constraints on this element Element Id medication_administration Short description MedicationAdministration Definition Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model. Data Type medication_administration
administration_product		1..1	Reference(HdBe PharmaceuticalProduct)	There are no (further) constraints on this element Element Id medication_administration.administration_product Short description AdministrationProduct Definition The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well. In principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet. Data Type Reference(HdBe PharmaceuticalProduct)
administering_speed		0..1	HdBe Range	There are no (further) constraints on this element Element Id medication_administration.administering_speed Short description AdministeringSpeed Definition The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. Entering an interval (such as 0-10 ml/hour) is also a commonly used option. For example, with an administering speed of 10ml/hour: amount = 10, dose unit = ml time unit = hour Data Type HdBe Range
administration_date_time		1..1	dateTime	There are no (further) constraints on this element Element Id medication_administration.administration_date_time Short description AdministrationDateTime Definition The date and time at which the medication was administered. Data Type dateTime
agreed_date_time		0..1	dateTime	There are no (further) constraints on this element Element Id medication_administration.agreed_date_time Short description AgreedDateTime Definition Date and time in the medication or administration agreement to which this administration pertains. Since multiple times can be indicated in one medication/administration agreement, this can be used to identify the agreed time in the event of e.g. early administration or a late administration. Data Type dateTime
administered_amount		0..1	Quantity	There are no (further) constraints on this element Element Id medication_administration.administered_amount Short description AdministeredAmount Definition Amount of the administered product. Data Type Quantity
deviating_administration		0..1	boolean	There are no (further) constraints on this element Element Id medication_administration.deviating_administration Short description DeviatingAdministration Definition In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether. Data Type boolean
route_of_administration		1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_administration.route_of_administration Short description RouteOfAdministration Definition The route through which the medication is administered (oral, nasal, intravenous,...). Data Type CodeableConcept Binding RouteOfAdministration codes RouteOfMedicationAdministration (required)
double_check_performed		0..1	boolean	There are no (further) constraints on this element Element Id medication_administration.double_check_performed Short description DoubleCheckPerformed Definition Was a double check performed prior to the administration? This is only legally required for certain medication. Data Type boolean
related_agreement	I	0..1	BackboneElement	There are no (further) constraints on this element Element Id medication_administration.related_agreement Short description RelatedAgreement Definition Medication or administration agreement on which this administration.is based. Data Type BackboneElement Constraints HdBe-MedicationAdministration2-1:Either medication_agreement or administration_agreement may exists. `medication_agreement.exists() xor administration_agreement.exists()`
medication_agreement	I	0..1	Reference(HdBe MedicationAgreement)	There are no (further) constraints on this element Element Id medication_administration.related_agreement.medication_agreement Short description MedicationAgreement Definition Medication agreement on which this administration is based. Data Type Reference(HdBe MedicationAgreement)
administration_agreement	I	0..1	Reference(HdBe AdministrationAgreement)	There are no (further) constraints on this element Element Id medication_administration.related_agreement.administration_agreement Short description AdministrationAgreement Definition Administration agreement on which this administration is based. Data Type Reference(HdBe AdministrationAgreement)
administrator	I	0..1	BackboneElement	There are no (further) constraints on this element Element Id medication_administration.administrator Short description Administrator Definition Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example. Data Type BackboneElement Constraints HdBe-MedicationAdministration2-2:Either patient, health_professional or caregiver may exists. `patient.exists() xor health_professional.exists() xor caregiver.exists()`
patient	I	0..1	Reference(HdBe Patient)	There are no (further) constraints on this element Element Id medication_administration.administrator.patient Short description Patient Definition If the patient administered the medication themselves, indicate that here. If the medication is administered by a health professional or caregiver/family member/etc., the health professional is entered in the ‘Healthcare provider’ element or the caregiver/family member/etc. is entered in the ‘Contact’ element respectively. Data Type Reference(HdBe Patient)
health_professional	I	0..1	Reference(HdBe HealthProfessional)	There are no (further) constraints on this element Element Id medication_administration.administrator.health_professional Short description HealthProfessional Definition The concept describes the person who administered the product. This is a professional authorised administrator. Data Type Reference(HdBe HealthProfessional)
caregiver	I	0..1	Reference(HdBe ContactPerson)	There are no (further) constraints on this element Element Id medication_administration.administrator.caregiver Short description Caregiver Definition Information on the patient’s personal relative or contact that administered the medication. Data Type Reference(HdBe ContactPerson)
medication_administration_reason_for_deviation		0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_administration.medication_administration_reason_for_deviation Short description MedicationAdministrationReasonForDeviation Definition Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes. Data Type CodeableConcept Binding MedicationAdministrationReasonForDeviation codes MedicationAdministrationReasonForDeviation (required)
medication_administration_status		1..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_administration.medication_administration_status Short description MedicationAdministrationStatus Definition The status of the administration, as a description of the stage within the administering process. Only the status codes ‘completed’ and ‘cancelled’ apply to indivisible products (such as tablets or suppositories). For divisible products (such as infusions), doses can also be ‘suspended’ or ‘aborted’. When documenting this, the following interpretations are used: Active: The product is administered. Suspended: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use. Aborted: Administration has stopped. Completed: Administration has been completed. Canceled: The product was never administered. Data Type CodeableConcept Binding MedicationAdministrationStatus codes MedicationAdministrationStatus (required)
comment		0..1	string	There are no (further) constraints on this element Element Id medication_administration.comment Short description Comment Definition Comments on administering the medication. Data Type string

medication_administration		0..*
medication_administration.administration_product	Reference(HdBe PharmaceuticalProduct)	1..1
medication_administration.administering_speed	HdBe Range	0..1
medication_administration.administration_date_time	dateTime	1..1
medication_administration.agreed_date_time	dateTime	0..1
medication_administration.administered_amount	Quantity	0..1
medication_administration.deviating_administration	boolean	0..1
medication_administration.route_of_administration	CodeableConcept	1..1
medication_administration.double_check_performed	boolean	0..1
medication_administration.related_agreement	BackboneElement	0..1
medication_administration.related_agreement.medication_agreement	Reference(HdBe MedicationAgreement)	0..1
medication_administration.related_agreement.administration_agreement	Reference(HdBe AdministrationAgreement)	0..1
medication_administration.administrator	BackboneElement	0..1
medication_administration.administrator.patient	Reference(HdBe Patient)	0..1
medication_administration.administrator.health_professional	Reference(HdBe HealthProfessional)	0..1
medication_administration.administrator.caregiver	Reference(HdBe ContactPerson)	0..1
medication_administration.medication_administration_reason_for_deviation	CodeableConcept	0..1
medication_administration.medication_administration_status	CodeableConcept	1..1
medication_administration.comment	string	0..1

medication_administration
Definition	Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
medication_administration.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
medication_administration.administration_product
Definition	The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well. In principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet.
Cardinality	1...1
Type	Reference(HdBe PharmaceuticalProduct)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.administering_speed
Definition	The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. Entering an interval (such as 0-10 ml/hour) is also a commonly used option. For example, with an administering speed of 10ml/hour: * amount = 10, * dose unit = ml * time unit = hour
Cardinality	0...1
Type	HdBe Range
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.administration_date_time
Definition	The date and time at which the medication was administered.
Cardinality	1...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.agreed_date_time
Definition	Date and time in the medication or administration agreement to which this administration pertains. Since multiple times can be indicated in one medication/administration agreement, this can be used to identify the agreed time in the event of e.g. early administration or a late administration.
Cardinality	0...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.administered_amount
Definition	Amount of the administered product.
Cardinality	0...1
Type	Quantity
Comments	The context of use may frequently define what kind of quantity this is and therefore what kind of units can be used. The context of use may also restrict the values for the comparator.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` qty-3:If a code for the unit is present, the system SHALL also be present `code.empty() or system.exists()`
Mappings	rim:n/a v2:SN (see also Range) or CQ rim:PQ, IVL<PQ>, MO, CO, depending on the values
medication_administration.deviating_administration
Definition	In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether.
Cardinality	0...1
Type	boolean
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.route_of_administration
Definition	The route through which the medication is administered (oral, nasal, intravenous,...).
Cardinality	1...1
Type	CodeableConcept
Binding	RouteOfAdministration codes RouteOfMedicationAdministration (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
medication_administration.double_check_performed
Definition	Was a double check performed prior to the administration? This is only legally required for certain medication.
Cardinality	0...1
Type	boolean
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.related_agreement
Definition	Medication or administration agreement on which this administration.is based.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-1:Either medication_agreement or administration_agreement may exists. `medication_agreement.exists() xor administration_agreement.exists()`
Mappings	rim:n/a
medication_administration.related_agreement.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
medication_administration.related_agreement.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
medication_administration.related_agreement.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
medication_administration.related_agreement.medication_agreement
Definition	Medication agreement on which this administration is based.
Cardinality	0...1
Type	Reference(HdBe MedicationAgreement)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.related_agreement.administration_agreement
Definition	Administration agreement on which this administration is based.
Cardinality	0...1
Type	Reference(HdBe AdministrationAgreement)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.administrator
Definition	Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` HdBe-MedicationAdministration2-2:Either patient, health_professional or caregiver may exists. `patient.exists() xor health_professional.exists() xor caregiver.exists()`
Mappings	rim:n/a
medication_administration.administrator.id
Definition	Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.
Cardinality	0...1
Type	System.String
Mappings	rim:n/a
medication_administration.administrator.extension
Definition	May be used to represent additional information that is not part of the basic definition of the element. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension.
Cardinality	0...*
Type	Extension
Alias	extensions, user content
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Slicing	Unordered, Open, by url(Value)
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
medication_administration.administrator.modifierExtension
Definition	May be used to represent additional information that is not part of the basic definition of the element and that modifies the understanding of the element in which it is contained and/or the understanding of the containing element's descendants. Usually modifier elements provide negation or qualification. To make the use of extensions safe and manageable, there is a strict set of governance applied to the definition and use of extensions. Though any implementer can define an extension, there is a set of requirements that SHALL be met as part of the definition of the extension. Applications processing a resource are required to check for modifier extensions. Modifier extensions SHALL NOT change the meaning of any elements on Resource or DomainResource (including cannot change the meaning of modifierExtension itself).
Cardinality	0...*
Type	Extension
Modifier	True
Summary	True
Alias	extensions, user content, modifiers
Requirements	Modifier extensions allow for extensions that cannot be safely ignored to be clearly distinguished from the vast majority of extensions which can be safely ignored. This promotes interoperability by eliminating the need for implementers to prohibit the presence of extensions. For further information, see the definition of modifier extensions.
Comments	There can be no stigma associated with the use of extensions by any application, project, or standard - regardless of the institution or jurisdiction that uses or defines the extensions. The use of extensions is what allows the FHIR specification to retain a core level of simplicity for everyone.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ext-1:Must have either extensions or value[x], not both `extension.exists() != value.exists()`
Mappings	rim:n/a rim:N/A
medication_administration.administrator.patient
Definition	If the patient administered the medication themselves, indicate that here. If the medication is administered by a health professional or caregiver/family member/etc., the health professional is entered in the ‘Healthcare provider’ element or the caregiver/family member/etc. is entered in the ‘Contact’ element respectively.
Cardinality	0...1
Type	Reference(HdBe Patient)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.administrator.health_professional
Definition	The concept describes the person who administered the product. This is a professional authorised administrator.
Cardinality	0...1
Type	Reference(HdBe HealthProfessional)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.administrator.caregiver
Definition	Information on the patient’s personal relative or contact that administered the medication.
Cardinality	0...1
Type	Reference(HdBe ContactPerson)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_administration.medication_administration_reason_for_deviation
Definition	Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes.
Cardinality	0...1
Type	CodeableConcept
Binding	MedicationAdministrationReasonForDeviation codes MedicationAdministrationReasonForDeviation (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
medication_administration.medication_administration_status
Definition	The status of the administration, as a description of the stage within the administering process. Only the status codes ‘completed’ and ‘cancelled’ apply to indivisible products (such as tablets or suppositories). For divisible products (such as infusions), doses can also be ‘suspended’ or ‘aborted’. When documenting this, the following interpretations are used: * Active: The product is administered. * Suspended: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use. * Aborted: Administration has stopped. * Completed: Administration has been completed. * Canceled: The product was never administered.
Cardinality	1...1
Type	CodeableConcept
Binding	MedicationAdministrationStatus codes MedicationAdministrationStatus (required)
Comments	Not all terminology uses fit this general pattern. In some cases, models should not use CodeableConcept and use Coding directly and provide their own structure for managing text, codings, translations and the relationship between elements and pre- and post-coordination.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a v2:CE/CNE/CWE rim:CD orim:fhir:CodeableConcept rdfs:subClassOf dt:CD
medication_administration.comment
Definition	Comments on administering the medication.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a

Example instances

medication_administration
administration_product	Reference to PharmaceuticalProduct (Acetaminophen 500 mg oral tablet)
administering_speed
administration_date_time	2022-06-03 16:19:07
agreed_date_time
administered_amount	1 tablet
deviating_administration	false
route_of_administration	26643006 - Oral route (code by SNOMED CT)
double_check_performed	false
related_agreement	--
related_agreement.medication_agreement
related_agreement.administration_agreement
administrator	--
administrator.patient	Reference to Patient (Belle Ulijn)
administrator.health_professional
administrator.caregiver
medication_administration_reason_for_deviation
medication_administration_status	MS0002 - Completed (code by Healthdate.be (Sciensano))
comment

zib MedicationAdministration2-v1.1.1 difference

Concept	Category	Description
`administering_speed`	type	Replaced type BackboneElement with Range type and added HdBe-Range partial CBB.
`administering_speed`	element	Removed elements minimum_value, maximum_value and nominal_value as they are defined within the CBB HdBe-Range.
`administering_speed`	textual	Removed context regarding the Dutch NHG table.
`route_of_administration`	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.
`medication_administration_reason_for_deviation`	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.
`medication_administration_status`	terminology	Replaced ActStatus codes of the MedicationAdministrationStatus ValueSet with SNOMED codes where applicable and added custom codes for codes not found in SNOMED, such as: Aborted and Completed.
`medication_administration_status`	textual	Aligned description of the values with the used valueSet.
`related_agreement`	constraint	Added an invariant (id = HdBe-MedicationAdministration2-1 ) to indicate only one related_greement is expected.
`administrator`	constraint	Added an invariant (HdBe-MedicationAdministration2-2) to indicate only one administrator is expected.

Terminology Bindings

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