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	BackboneElement	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 BackboneElement
pharmaceutical_product	1..1	Reference(HdBe PharmaceuticalProduct)	There are no (further) constraints on this element Element Id medication_administration.administration_product.pharmaceutical_product Short description PharmaceuticalProduct Definition Root concept of the PharmaceuticalProduct partial information model.This root concept contains all data elements of the PharmaceuticalProduct partial information model. The prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well. A type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary. In addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example). Entering multiple ingredients will enable you to display a compound product. In that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication. Prescriptions to be prepared by the pharmacy can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text. Data Type Reference(HdBe PharmaceuticalProduct)
administering_speed	0..1	BackboneElement	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 Optionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed. Data Type BackboneElement
minimum_value	0..1	Quantity	There are no (further) constraints on this element Element Id medication_administration.administering_speed.minimum_value Short description minimumValue Definition The minimal value of the range Data Type Quantity
maximum_value	0..1	Quantity	There are no (further) constraints on this element Element Id medication_administration.administering_speed.maximum_value Short description maximumValue Definition The maximum value of the range Data Type Quantity
nominal_value	0..1	Quantity	There are no (further) constraints on this element Element Id medication_administration.administering_speed.nominal_value Short description nominalValue Definition The nominal value of the quantity. This element can not be used in combination with a minimum and maximum value Data Type Quantity
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 MedicatieToedieningToedieningsweg (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	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
medication_agreement	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	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	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
patient	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	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	0..1	BackboneElement	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 BackboneElement
contact	1..1	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	There are no (further) constraints on this element Element Id medication_administration.administrator.caregiver.contact Short description Contact Definition Root concept of the Contact information model. This root concept contains all data elements of the Contact information model. Data Type Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
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 MedicatieToedieningRedenVanAfwijken (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. Interrupted: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use. Discontinued: Administration has stopped. Completed: Administration has been completed. Not started: The product was never administered. Data Type CodeableConcept Binding MedicationAdministrationStatus codes MedicatieToedieningStatus (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	BackboneElement	1..1
medication_administration.administration_product.pharmaceutical_product	Reference(HdBe PharmaceuticalProduct)	1..1
medication_administration.administering_speed	BackboneElement	0..1
medication_administration.administering_speed.minimum_value	Quantity	0..1
medication_administration.administering_speed.maximum_value	Quantity	0..1
medication_administration.administering_speed.nominal_value	Quantity	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	BackboneElement	0..1
medication_administration.administrator.caregiver.contact	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)	1..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	BackboneElement
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_product.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.administration_product.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.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.administration_product.pharmaceutical_product
Definition	Root concept of the PharmaceuticalProduct partial information model.This root concept contains all data elements of the PharmaceuticalProduct partial information model. The prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well. A type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary. In addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example). Entering multiple ingredients will enable you to display a compound product. In that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication. Prescriptions to be prepared by the pharmacy can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.
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 Optionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.administering_speed.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.administering_speed.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.administering_speed.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.administering_speed.minimum_value
Definition	The minimal value of the range
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.administering_speed.maximum_value
Definition	The maximum value of the range
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.administering_speed.nominal_value
Definition	The nominal value of the quantity. This element can not be used in combination with a minimum and maximum value
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.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 MedicatieToedieningToedieningsweg (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())`
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())`
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	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_administration.administrator.caregiver.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.caregiver.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.caregiver.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.caregiver.contact
Definition	Root concept of the Contact information model. This root concept contains all data elements of the Contact information model.
Cardinality	1...1
Type	Reference(https://fhir.healthdata.be/StructureDefinition/LogicalModel/HdBe-Contact)
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 MedicatieToedieningRedenVanAfwijken (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. * Interrupted: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use. * Discontinued: Administration has stopped. * Completed: Administration has been completed. * Not started: The product was never administered.
Cardinality	1...1
Type	CodeableConcept
Binding	MedicationAdministrationStatus codes MedicatieToedieningStatus (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

[CBB name]
[Concept name ]	[example value]

// example of NameInformation

## Example instances

| name_information      |                   |
|----------------------|-------------------|
| first_names | Johanna Petronella Maria   
| initials | J.P.M. 
| given_name | Jo 
| name_usage | Geslachtsnaam partner gevolgd door eigen geslachtsnaam
| last_name.prefix | van
| last_name.last_name | Putten
| last_name_partner.partner_prefix | van der
| last_name_partner.partner_last_name | Giessen
| titles |

zib [zib name + version](https://zibs.nl/wiki/[zib name + version(release)]) difference

Concept	Category	Description
`[element.path]`	[category of change]	[Description of change]([Reference to ticket/issue/zulip chat using MarkDown link])

Terminology Bindings

Path	Name	Strength	URL
route_of_administration	MedicatieToedieningToedieningsweg	required	https://fhir.healthdata.be/ValueSet/MedicatieToedieningToedieningsweg
medication_administration_reason_for_deviation	MedicatieToedieningRedenVanAfwijken	required	https://fhir.healthdata.be/ValueSet/MedicatieToedieningRedenVanAfwijken
medication_administration_status	MedicatieToedieningStatus	required	https://fhir.healthdata.be/ValueSet/MedicatieToedieningStatus