{
"description": "This profile is based on Medicatieproces V9.0.7 and the related Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) MedicationAdministration version 1.0.1, year 2017. Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements.",
"_filename": "zib-MedicationAdministration.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.1",
"purpose": "The goal of administering the medication is to provide insight into the actual administered products.",
"name": "Zib MedicationAdministration",
"mapping": [ {
"uri": "https://zibs.nl/wiki/MedicationAdministration2-v1.0(2017EN)",
"name": "HCIM MedicationAdministration2-v1.0(2017EN)",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"uri": "https://decor.nictiz.nl/medicatieproces/mp-html-20181220T121121/ds-2.16.840.1.113883.2.4.3.11.60.20.77.1.3-2016-06-01T000000.html",
"name": "Medication Process v09",
"comment": "Language of Medication Process is Dutch.",
"identity": "Medication-Process-v09"
}, {
"uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v1.2.1(2015EN)",
"name": "HCIM PlannedCareActivityForTransfer-v1.2.1(2015EN)",
"identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN"
}, {
"uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.0(2016EN)",
"name": "HCIM PlannedCareActivityForTransfer-v3.0(2016EN)",
"identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/PlannedCareActivityForTransfer-v3.1(2017EN)",
"name": "HCIM PlannedCareActivityForTransfer-v3.1(2017EN)",
"identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "MedicationAdministration",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM MedicationAdministration",
"package_version": "1.1.2",
"status": "active",
"id": "643ecca3-5589-448a-9da0-54dac1d22bbb",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration",
"version": "2.2.1",
"differential": {
"element": [ {
"id": "MedicationAdministration",
"path": "MedicationAdministration",
"alias": [ "MedicatieToediening" ],
"short": "MedicationAdministration",
"mapping": [ {
"map": "NL-CM:9.13.20928",
"comment": "MedicationAdministration",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"map": "NL-CM:16.1.3",
"comment": "MedicationAdministration",
"identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN"
}, {
"map": "NL-CM:16.1.3",
"comment": "MedicationAdministration",
"identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:16.1.3",
"comment": "MedicationAdministration",
"identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN"
} ],
"definition": "Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements."
}, {
"id": "MedicationAdministration.extension",
"path": "MedicationAdministration.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationAdministration.extension:agreedDateTime",
"path": "MedicationAdministration.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-AgreedDateTime"
} ],
"alias": [ "AfgesprokenDatumTijd" ],
"short": "AgreedDateTime",
"mapping": [ {
"map": "NL-CM:9.13.23171",
"comment": "AgreedDateTime",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"sliceName": "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."
}, {
"id": "MedicationAdministration.extension:agreedDateTime.valueDateTime:valueDateTime",
"path": "MedicationAdministration.extension.valueDateTime",
"sliceName": "valueDateTime"
}, {
"path": "MedicationAdministration.extension",
"definition": "Was a double check performed prior to the administration? This is only legally required for certain medication.",
"short": "DoubleCheckPerformed",
"mapping": [ {
"map": "NL-CM:9.13.23168",
"comment": "DoubleCheckPerformed",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DoubleCheckPerformed"
} ],
"sliceName": "doubleCheckPerformed",
"alias": [ "DubbeleControleUitgevoerd" ],
"max": "1",
"id": "MedicationAdministration.extension:doubleCheckPerformed"
}, {
"id": "MedicationAdministration.extension:doubleCheckPerformed.valueBoolean:valueBoolean",
"path": "MedicationAdministration.extension.valueBoolean",
"sliceName": "valueBoolean"
}, {
"path": "MedicationAdministration.extension",
"definition": "This extension is to describe which overarching medication treatment this information is part of. This is done by the use of an identifier of that medication treatment.",
"short": "Medicational Treatment",
"mapping": [ {
"map": "mp-dataelement900-22092",
"comment": "Medicamenteuze behandeling",
"identity": "Medication-Process-v09"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment"
} ],
"sliceName": "medicationTreatment",
"alias": [ "Medicamenteuze behandeling" ],
"max": "1",
"id": "MedicationAdministration.extension:medicationTreatment",
"comment": "No HCIM concept is available for this element. Therefore a mapping to the relevant element Medication Process data element is provided."
}, {
"id": "MedicationAdministration.extension:medicationTreatment.valueIdentifier:valueIdentifier",
"path": "MedicationAdministration.extension.valueIdentifier",
"sliceName": "valueIdentifier"
}, {
"id": "MedicationAdministration.extension:deviatingAdministration",
"max": "1",
"path": "MedicationAdministration.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration"
} ],
"sliceName": "deviatingAdministration"
}, {
"id": "MedicationAdministration.extension:deviatingAdministration.extension:deviation",
"path": "MedicationAdministration.extension.extension",
"mapping": [ {
"map": "NL-CM:9.13.23167",
"comment": "DeviatingAdministration",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"sliceName": "deviation"
}, {
"id": "MedicationAdministration.extension:deviatingAdministration.extension:deviation.valueBoolean:valueBoolean",
"path": "MedicationAdministration.extension.extension.valueBoolean",
"sliceName": "valueBoolean"
}, {
"id": "MedicationAdministration.extension:deviatingAdministration.extension:reasonForDeviation",
"path": "MedicationAdministration.extension.extension",
"binding": {
"strength": "extensible",
"valueSetReference": {
"display": "MedicatieToedieningRedenVanAfwijkenCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.3--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:9.13.23166",
"comment": "MedicationAdministrationReasonForDeviation",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"sliceName": "reasonForDeviation"
}, {
"id": "MedicationAdministration.extension:deviatingAdministration.extension:reasonForDeviation.valueCodeableConcept:valueCodeableConcept",
"path": "MedicationAdministration.extension.extension.valueCodeableConcept",
"sliceName": "valueCodeableConcept"
}, {
"id": "MedicationAdministration.identifier",
"path": "MedicationAdministration.identifier",
"alias": [ "MedicatietoedieningIdentificatie" ],
"short": "MedicationAdministrationIdentifier",
"mapping": [ {
"map": "mp-dataelement900-23036",
"comment": "Identificatie",
"identity": "Medication-Process-v09"
}, {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "MedicationAdministration.status",
"path": "MedicationAdministration.status",
"alias": [ "MedicatieToedieningStatus" ],
"short": "MedicationAdministrationStatus",
"mapping": [ {
"map": "NL-CM:9.13.21191",
"comment": "MedicationAdministrationStatus",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"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’. \r\n\r\nWhen documenting this, the following interpretations are used: \r\nActive: The product is administered.\r\nInterrupted: 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.\r\nDiscontinued: Administration has stopped.\r\nCompleted: Administration has been completed.\r\n\r\nNot started: The product was never administered."
}, {
"id": "MedicationAdministration.status.extension",
"path": "MedicationAdministration.status.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "MedicationAdministration.status.extension",
"definition": "The status of the order / recommendation.",
"short": "OrderStatus",
"mapping": [ {
"map": "NL-CM:16.1.9",
"comment": "OrderStatus",
"identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN"
}, {
"map": "NL-CM:16.1.9",
"comment": "OrderStatus",
"identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:16.1.9",
"comment": "OrderStatus",
"identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/code-specification"
} ],
"sliceName": "orderStatus",
"alias": [ "OrderStatus" ],
"max": "1",
"id": "MedicationAdministration.status.extension:orderStatus"
}, {
"id": "MedicationAdministration.category",
"min": 1,
"path": "MedicationAdministration.category"
}, {
"id": "MedicationAdministration.category.coding",
"path": "MedicationAdministration.category.coding",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "code",
"type": "value"
} ]
}
}, {
"id": "MedicationAdministration.category.coding:MedicationAdministrationCode",
"path": "MedicationAdministration.category.coding",
"short": "MedicationAdministrationCode",
"sliceName": "MedicationAdministrationCode",
"definition": "Category snomed code used for indexing/retrieval of the ZIB MedicationAdministration. The SNOMED CT code 422037009 for this resource is stated in the Medication Process v09."
}, {
"id": "MedicationAdministration.category.coding:MedicationAdministrationCode.system",
"path": "MedicationAdministration.category.coding.system",
"fixedUri": "http://snomed.info/sct"
}, {
"id": "MedicationAdministration.category.coding:MedicationAdministrationCode.code",
"path": "MedicationAdministration.category.coding.code",
"fixedCode": "18629005"
}, {
"id": "MedicationAdministration.category.coding:MedicationAdministrationCode.display",
"path": "MedicationAdministration.category.coding.display",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-translatable",
"valueBoolean": true
} ],
"defaultValueString": "Administration of drug or medicament (procedure)"
}, {
"id": "MedicationAdministration.medication[x]:medicationReference",
"path": "MedicationAdministration.medicationReference",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
} ],
"alias": [ "Product", "Geneesmiddel", "Toedieningsproduct" ],
"short": "AdministrationProduct",
"mapping": [ {
"map": "NL-CM:9.13.20929",
"comment": "AdministrationProduct",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"sliceName": "medicationReference",
"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. \r\n\r\nIn 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."
}, {
"id": "MedicationAdministration.subject",
"path": "MedicationAdministration.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
} ],
"mapping": [ {
"map": "NL-CM:0.0.11",
"comment": "Subject",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "MedicationAdministration.supportingInformation",
"path": "MedicationAdministration.supportingInformation",
"type": [ {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Resource"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Dispense"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-DispenseRequest"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-AdministrationAgreement"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration"
} ],
"mapping": [ {
"map": "NL-CM:9.13.23169",
"comment": "RelatedAgreement",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"definition": "Medication or administration agreement on which this administration.is based."
}, {
"id": "MedicationAdministration.effective[x]",
"path": "MedicationAdministration.effective[x]",
"alias": [ "ToedieningsDatumTijd" ],
"short": "AdministrationDateTime",
"mapping": [ {
"map": "NL-CM:9.13.21193",
"comment": "AdministrationDateTime",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"map": "NL-CM:16.1.10",
"comment": "StartDate",
"identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN"
}, {
"map": "NL-CM:16.1.10",
"comment": "StartDate",
"identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:16.1.10",
"comment": "StartDate",
"identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN"
}, {
"map": "NL-CM:16.1.11",
"comment": "EndDate",
"identity": "hcim-plannedcareactivityfortransfer-v1.2.1-2015EN"
}, {
"map": "NL-CM:16.1.11",
"comment": "EndDate",
"identity": "hcim-plannedcareactivityfortransfer-v3.0-2016EN"
}, {
"map": "NL-CM:16.1.11",
"comment": "EndDate",
"identity": "hcim-plannedcareactivityfortransfer-v3.1-2017EN"
}, {
"map": "NL-CM:0.0.14",
"comment": "DateTime",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"definition": "The date and time at which the medication was administered."
}, {
"id": "MedicationAdministration.performer",
"path": "MedicationAdministration.performer",
"alias": [ "Toediener" ],
"short": "Administrator",
"mapping": [ {
"map": "NL-CM:9.13.21196",
"comment": "Administrator",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"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."
}, {
"id": "MedicationAdministration.performer.actor",
"path": "MedicationAdministration.performer.actor",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-relatedperson"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Device"
} ],
"comment": "The health professional's specialty, role, and organization are captured and communicated through the PractitionerRole Resource based on the nl-core-practitionerrole profile.",
"mapping": [ {
"map": "NL-CM:9.13.23380",
"comment": "Patient",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"map": "NL-CM:9.13.23172",
"comment": "HealthProfessional",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
}, {
"map": "NL-CM:9.13.23355",
"comment": "Caregiver",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ]
}, {
"id": "MedicationAdministration.performer.actor.extension",
"path": "MedicationAdministration.performer.actor.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "MedicationAdministration.performer.actor.extension:practitionerRole",
"max": "1",
"path": "MedicationAdministration.performer.actor.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "MedicationAdministration.performer.onBehalfOf",
"path": "MedicationAdministration.performer.onBehalfOf",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ]
}, {
"id": "MedicationAdministration.note",
"path": "MedicationAdministration.note",
"alias": [ "Toelichting" ],
"short": "Comment",
"mapping": [ {
"map": "NL-CM:9.13.21337",
"comment": "Comment",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"definition": "Comments on administering the medication."
}, {
"id": "MedicationAdministration.dosage.route",
"min": 1,
"path": "MedicationAdministration.dosage.route",
"alias": [ "Toedieningsweg" ],
"short": "RouteOfAdministration",
"binding": {
"strength": "extensible",
"extension": [ {
"url": "http://hl7.org/fhir/StructureDefinition/elementdefinition-bindingName",
"valueString": "RouteOfAdministration"
} ],
"description": "MedicatieToedieningToedieningswegCodelijst",
"valueSetReference": {
"display": "MedicatieToedieningToedieningswegCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20171231000000"
}
},
"mapping": [ {
"map": "NL-CM:9.13.21195",
"comment": "RouteOfAdministration",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"definition": "he route through which the medication is administered (oral, nasal, intravenous,...)"
}, {
"id": "MedicationAdministration.dosage.dose",
"min": 1,
"path": "MedicationAdministration.dosage.dose",
"alias": [ "ToegediendeHoeveelheid" ],
"short": "AdministeredAmount",
"binding": {
"strength": "required",
"description": "GstdTabel902",
"valueSetReference": {
"display": "GstdTabel902",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453"
}
},
"mapping": [ {
"map": "NL-CM:9.13.21194",
"comment": "AdministeredAmount",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"definition": "Amount of the administered product"
}, {
"id": "MedicationAdministration.dosage.rate[x]",
"path": "MedicationAdministration.dosage.rate[x]",
"alias": [ "Toedieningssnelheid" ],
"short": "AdministeringSpeed",
"mapping": [ {
"map": "NL-CM:9.13.23159",
"comment": "AdministeringSpeed",
"identity": "hcim-MedicationAdministration2-v1.0-2017EN"
} ],
"definition": "The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. \r\nEntering an interval (such as 0-10 ml/hour) is also a commonly used option. \r\n\r\nFor example, with an administering speed of 10ml/hour: \r\namount = 10,\r\ndose unit = ml\r\n\r\ntime unit = hour"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/MedicationAdministration"
}