HdBe-MedicationAgreement

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

medication_agreement		medication_agreement	There are no (further) constraints on this element Element Id medication_agreement Short description MedicationAgreement Definition Root concept of the MedicationAgreement information model. This root concept contains all data elements of the MedicationAgreement information model. Data Type medication_agreement
prescriber	0..1	BackboneElement	There are no (further) constraints on this element Element Id medication_agreement.prescriber Short description Prescriber Definition The health professional that entered the medication agreement with the patient. Data Type BackboneElement
health_professional	1..1	Reference(HdBe HealthProfessional)	There are no (further) constraints on this element Element Id medication_agreement.prescriber.health_professional Short description HealthProfessional Definition Root concept of the HealthProfessional information model. This root concept contains all data elements of the HealthProfessional information model. When referring to this information model the role the health professional fulfils in the healthcare process can be addressed additionally. For health professionals, this could be for example main practitioner or referrer. Data Type Reference(HdBe HealthProfessional)
prescription_reason	0..1	BackboneElement	There are no (further) constraints on this element Element Id medication_agreement.prescription_reason Short description PrescriptionReason Definition The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. It can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms. Please note: The BST401T file of the G standard contains a “special reference” to indicate that “exchange of the reason for prescription is essential”. Data Type BackboneElement
problem	1..1	Reference(HdBe Problem)	There are no (further) constraints on this element Element Id medication_agreement.prescription_reason.problem Short description Problem Definition Root concept of the Problem information model. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient himselve (in the form of a complaint) or by their healthprofessional (in the form of a diagnosis, for example). Data Type Reference(HdBe Problem)
agreed_medicine	1..1	BackboneElement	There are no (further) constraints on this element Element Id medication_agreement.agreed_medicine Short description AgreedMedicine Definition The medicine agreed upon to be used. Data Type BackboneElement
pharmaceutical_product	1..1	Reference(HdBe PharmaceuticalProduct)	There are no (further) constraints on this element Element Id medication_agreement.agreed_medicine.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)
instructions_for_use	0..1	HdBe InstructionsForUse	There are no (further) constraints on this element Element Id medication_agreement.instructions_for_use Short description InstructionsForUse Definition Instructions for the use of the medication, e.g. dose and route of administration. Data Type HdBe InstructionsForUse
medication_agreement_date_time	1..1	dateTime	There are no (further) constraints on this element Element Id medication_agreement.medication_agreement_date_time Short description MedicationAgreementDateTime Definition The time at which the agreement was made. Appointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day) Data Type dateTime
period_of_use	0..1	BackboneElement	There are no (further) constraints on this element Element Id medication_agreement.period_of_use Short description PeriodOfUse Definition Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date. With medication for an indefinite period only a start date is indicated. Data Type BackboneElement
start_date_time	0..1	dateTime	There are no (further) constraints on this element Element Id medication_agreement.period_of_use.start_date_time Short description startDateTime Definition The start date and time of the interval Data Type dateTime
end_date_time	0..1	dateTime	There are no (further) constraints on this element Element Id medication_agreement.period_of_use.end_date_time Short description endDateTime Definition The end date and time of the interval Data Type dateTime
duration	0..1	Quantity	There are no (further) constraints on this element Element Id medication_agreement.period_of_use.duration Short description Duration Definition The duration of the interval in appropriate units of time (e.g. days or hours, etc. Data Type Quantity
medication_agreement_stop_type	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_agreement.medication_agreement_stop_type Short description MedicationAgreementStopType Definition Stop type, the manner in which this medication is discontinued (temporary or definitive). Data Type CodeableConcept Binding MedicationAgreementStopType codes MedicatieafspraakStopType (required)
reason_medication_agreement	0..1	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_agreement.reason_medication_agreement Short description ReasonMedicationAgreement Definition Reason for this agreement. This can be the reason to start, change or stop the medication treatment. Data Type CodeableConcept Binding ReasonMedicationAgreement codes RedenMedicatieafspraak (required)
medication_agreement_additional_information	0..*	CodeableConceptBinding	There are no (further) constraints on this element Element Id medication_agreement.medication_agreement_additional_information Short description MedicationAgreementAdditionalInformation Definition Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way. See also the Instructions section for more information about use of the element. Data Type CodeableConcept Binding MedicationAgreementAdditionalInformation codes MedicatieafspraakAanvullendeInformatie (required)
comment	0..1	string	There are no (further) constraints on this element Element Id medication_agreement.comment Short description Comment Definition Comments regarding to the medication agreement. For example: in consultation with the medical specialist. Data Type string

medication_agreement		0..*
medication_agreement.prescriber	BackboneElement	0..1
medication_agreement.prescriber.health_professional	Reference(HdBe HealthProfessional)	1..1
medication_agreement.prescription_reason	BackboneElement	0..1
medication_agreement.prescription_reason.problem	Reference(HdBe Problem)	1..1
medication_agreement.agreed_medicine	BackboneElement	1..1
medication_agreement.agreed_medicine.pharmaceutical_product	Reference(HdBe PharmaceuticalProduct)	1..1
medication_agreement.instructions_for_use	HdBe InstructionsForUse	0..1
medication_agreement.medication_agreement_date_time	dateTime	1..1
medication_agreement.period_of_use	BackboneElement	0..1
medication_agreement.period_of_use.start_date_time	dateTime	0..1
medication_agreement.period_of_use.end_date_time	dateTime	0..1
medication_agreement.period_of_use.duration	Quantity	0..1
medication_agreement.medication_agreement_stop_type	CodeableConcept	0..1
medication_agreement.reason_medication_agreement	CodeableConcept	0..1
medication_agreement.medication_agreement_additional_information	CodeableConcept	0..*
medication_agreement.comment	string	0..1

medication_agreement
Definition	Root concept of the MedicationAgreement information model. This root concept contains all data elements of the MedicationAgreement information model.
Cardinality	0...*
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_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_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_agreement.prescriber
Definition	The health professional that entered the medication agreement with the patient.
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_agreement.prescriber.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_agreement.prescriber.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_agreement.prescriber.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_agreement.prescriber.health_professional
Definition	Root concept of the HealthProfessional information model. This root concept contains all data elements of the HealthProfessional information model. When referring to this information model the role the health professional fulfils in the healthcare process can be addressed additionally. For health professionals, this could be for example main practitioner or referrer.
Cardinality	1...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_agreement.prescription_reason
Definition	The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. It can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms. Please note: The BST401T file of the G standard contains a “special reference” to indicate that “exchange of the reason for prescription is essential”.
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_agreement.prescription_reason.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_agreement.prescription_reason.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_agreement.prescription_reason.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_agreement.prescription_reason.problem
Definition	Root concept of the Problem information model. A problem describes a situation with regard to an individual’s health and/or welfare. This situation can be described by the patient himselve (in the form of a complaint) or by their healthprofessional (in the form of a diagnosis, for example).
Cardinality	1...1
Type	Reference(HdBe Problem)
Comments	References SHALL be a reference to an actual FHIR resource, and SHALL be resolveable (allowing for access control, temporary unavailability, etc.). Resolution can be either by retrieval from the URL, or, where applicable by resource type, by treating an absolute reference as a canonical URL and looking it up in a local registry/repository.
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())` ref-1:SHALL have a contained resource if a local reference is provided `reference.startsWith('#').not() or (reference.substring(1).trace('url') in %rootResource.contained.id.trace('ids'))`
Mappings	rim:n/a rim:The target of a resource reference is a RIM entry point (Act, Role, or Entity)
medication_agreement.agreed_medicine
Definition	The medicine agreed upon to be used.
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_agreement.agreed_medicine.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_agreement.agreed_medicine.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_agreement.agreed_medicine.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_agreement.agreed_medicine.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_agreement.instructions_for_use
Definition	Instructions for the use of the medication, e.g. dose and route of administration.
Cardinality	0...1
Type	HdBe InstructionsForUse
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_agreement.medication_agreement_date_time
Definition	The time at which the agreement was made. Appointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day)
Cardinality	1...1
Type	dateTime
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_agreement.period_of_use
Definition	Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date. With medication for an indefinite period only a start date is indicated.
Cardinality	0...1
Type	BackboneElement
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a
medication_agreement.period_of_use.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_agreement.period_of_use.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_agreement.period_of_use.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_agreement.period_of_use.start_date_time
Definition	The start date and time of the interval
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_agreement.period_of_use.end_date_time
Definition	The end date and time of the interval
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_agreement.period_of_use.duration
Definition	The duration of the interval in appropriate units of time (e.g. days or hours, etc.
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_agreement.medication_agreement_stop_type
Definition	Stop type, the manner in which this medication is discontinued (temporary or definitive).
Cardinality	0...1
Type	CodeableConcept
Binding	MedicationAgreementStopType codes MedicatieafspraakStopType (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_agreement.reason_medication_agreement
Definition	Reason for this agreement. This can be the reason to start, change or stop the medication treatment.
Cardinality	0...1
Type	CodeableConcept
Binding	ReasonMedicationAgreement codes RedenMedicatieafspraak (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_agreement.medication_agreement_additional_information
Definition	Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way. See also the Instructions section for more information about use of the element.
Cardinality	0...*
Type	CodeableConcept
Binding	MedicationAgreementAdditionalInformation codes MedicatieafspraakAanvullendeInformatie (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_agreement.comment
Definition	Comments regarding to the medication agreement. For example: in consultation with the medical specialist.
Cardinality	0...1
Type	string
Comments	Note that FHIR strings SHALL NOT exceed 1MB in size
Invariants	ele-1:All FHIR elements must have a @value or children `hasValue() or (children().count() > id.count())`
Mappings	rim:n/a

Example instances

[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
medication_agreement_stop_type	MedicatieafspraakStopType	required	https://fhir.healthdata.be/ValueSet/MedicatieafspraakStopType
reason_medication_agreement	RedenMedicatieafspraak	required	https://fhir.healthdata.be/ValueSet/RedenMedicatieafspraak
medication_agreement_additional_information	MedicatieafspraakAanvullendeInformatie	required	https://fhir.healthdata.be/ValueSet/MedicatieafspraakAanvullendeInformatie