Nictiz FHIR NL STU3 Zib2017 - Local Development build (v1.3.15) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

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Resource Profile: HCIM Infusion AdministeringSystem

This resource is part of Infusion as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.

The administering system contains the entire system making the fluid run from the infusion bag via the cannula/catheter to the patient. This also includes any three-way valves/connecting joints used.

The purpose of an infusion is usually to administer fluid and/or medication. Information on present infusions is recorded to inform other health professionals. This information is of importance in determining the care required for the patient and in safely administering medication. In a transfer situation, the information offers the option to realize continuity of care by organizing specific expertise and materials in advance, for example.

Usages:

• Refer to this Profile: HCIM Infusion

You can also check for usages in the FHIR IG Statistics

Formal Views of Profile Content

Description of Profiles, Differentials, Snapshots and how the different presentations work.

• Differential Table
• Key Elements Table
• Snapshot Table
• Statistics/References
• All

This structure is derived from Zib MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	Zib MedicationAdministration	MedicationAdministration
device
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Peripheral		0..*	Reference(HCIM MedicalDevice)	Peripheral URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
note
text		1..1	string	AdministeringSystemComment
Documentation for this format

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration	C	0..*	Zib MedicationAdministration	MedicationAdministration Constraints: mad-2, mad-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:agreedDateTime		0..*	dateTime	AgreedDateTime URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-AgreedDateTime
extension:doubleCheckPerformed		0..1	boolean	DoubleCheckPerformed URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DoubleCheckPerformed
extension:medicationTreatment		0..1	Identifier	Medicational Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:deviatingAdministration		0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration
Slices for extension				Content/Rules for all slices
extension:deviation		0..*	Extension	Extension
url		1..1	uri	"deviation"
Slices for value[x]		0..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		0..1	boolean	Value of extension
extension:reasonForDeviation		0..*	Extension	Extension
url		1..1	uri	"reasonForDeviation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministrationStatus (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for extension				Content/Rules for all slices
extension:orderStatus		0..1	CodeableConcept	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministrationCategory (preferred): A coded concept describing where the medication administered is expected to occur
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:MedicationAdministrationCode	Σ	0..*	Coding	MedicationAdministrationCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
Slices for medication[x]	Σ	1..1	Reference()	What was administered Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AdministrationProduct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who received medication
effective[x]	Σ	1..1		AdministrationDateTime
effectiveDateTime			dateTime
effectivePeriod			Period
notGiven	?!Σ	0..1	boolean	True if medication not administered
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministrationStatus http://hl7.org/fhir/ValueSet/medication-admin-status|3.0.2 From the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministrationCategory http://hl7.org/fhir/ValueSet/medication-admin-category|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-2	error	MedicationAdministration	Reason not given is only permitted if NotGiven is true : reasonNotGiven.empty() or notGiven = true
mad-3	error	MedicationAdministration	Reason given is only permitted if NotGiven is false : reasonCode.empty() or notGiven.empty() or notGiven = 'false'

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration	C	0..*	Zib MedicationAdministration	MedicationAdministration Constraints: mad-2, mad-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:agreedDateTime		0..*	dateTime	AgreedDateTime URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-AgreedDateTime
extension:doubleCheckPerformed		0..1	boolean	DoubleCheckPerformed URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DoubleCheckPerformed
extension:medicationTreatment		0..1	Identifier	Medicational Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:deviatingAdministration		0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deviation		0..*	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"deviation"
Slices for value[x]		0..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		0..1	boolean	Value of extension
extension:reasonForDeviation		0..*	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reasonForDeviation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition)	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministrationStatus (required): A set of codes indicating the current status of a MedicationAdministration.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:orderStatus		0..1	CodeableConcept	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministrationCategory (preferred): A coded concept describing where the medication administered is expected to occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:MedicationAdministrationCode	Σ	0..*	Coding	MedicationAdministrationCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1	Reference()	What was administered Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AdministrationProduct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource | HCIM Dispense | HCIM PharmaceuticalProduct | HCIM DispenseRequest | HCIM AdministrationAgreement | HCIM MedicationAgreement | HCIM MedicationAdministration)	RelatedAgreement / MedicationAgreement / AdministrationAgreement
effective[x]	Σ	1..1		AdministrationDateTime
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Administrator
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson | Device)	Individual who was performing
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
notGiven	?!Σ	0..1	boolean	True if medication not administered
reasonNotGiven	C	0..*	CodeableConcept	Reason administration not performed Binding: SNOMED CT Reason Medication Not Given Codes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
reasonCode	C	0..*	CodeableConcept	Reason administration performed Binding: Reason Medication Given Codes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation)	Condition or Observation that supports why the medication was administered
prescription		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Peripheral		0..*	Reference(HCIM MedicalDevice)	Peripheral URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Comment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	AdministeringSystemComment
dosage	C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningToedieningswegCodelijst (extensible): MedicatieToedieningToedieningswegCodelijst
method		0..1	CodeableConcept	How drug was administered Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
dose		1..1	SimpleQuantity	AdministeredAmount Binding: G-Standaard Eenhedentabel (required): GstdTabel902
rate[x]		0..1		AdministeringSpeed
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationAdministration.status	required	MedicationAdministrationStatus http://hl7.org/fhir/ValueSet/medication-admin-status|3.0.2 From the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministrationCategory http://hl7.org/fhir/ValueSet/medication-admin-category|3.0.2 From the FHIR Standard
MedicationAdministration.reasonNotGiven	example	SNOMED CT Reason Medication Not Given Codes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|3.0.2 From the FHIR Standard
MedicationAdministration.reasonCode	example	Reason Medication Given Codes http://hl7.org/fhir/ValueSet/reason-medication-given-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.route	extensible	MedicatieToedieningToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20171231000000 From this IG
MedicationAdministration.dosage.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.dose	required	GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
mad-2	error	MedicationAdministration	Reason not given is only permitted if NotGiven is true : reasonNotGiven.empty() or notGiven = true
mad-3	error	MedicationAdministration	Reason given is only permitted if NotGiven is false : reasonCode.empty() or notGiven.empty() or notGiven = 'false'

This structure is derived from Zib MedicationAdministration

Summary

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Differential View

This structure is derived from Zib MedicationAdministration

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration		0..*	Zib MedicationAdministration	MedicationAdministration
device
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Peripheral		0..*	Reference(HCIM MedicalDevice)	Peripheral URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
note
text		1..1	string	AdministeringSystemComment
Documentation for this format

Key Elements View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration	C	0..*	Zib MedicationAdministration	MedicationAdministration Constraints: mad-2, mad-3
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
Slices for extension				Content/Rules for all slices
extension:agreedDateTime		0..*	dateTime	AgreedDateTime URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-AgreedDateTime
extension:doubleCheckPerformed		0..1	boolean	DoubleCheckPerformed URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DoubleCheckPerformed
extension:medicationTreatment		0..1	Identifier	Medicational Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:deviatingAdministration		0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration
Slices for extension				Content/Rules for all slices
extension:deviation		0..*	Extension	Extension
url		1..1	uri	"deviation"
Slices for value[x]		0..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		0..1	boolean	Value of extension
extension:reasonForDeviation		0..*	Extension	Extension
url		1..1	uri	"reasonForDeviation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministrationStatus (required): A set of codes indicating the current status of a MedicationAdministration.
Slices for extension				Content/Rules for all slices
extension:orderStatus		0..1	CodeableConcept	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministrationCategory (preferred): A coded concept describing where the medication administered is expected to occur
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:MedicationAdministrationCode	Σ	0..*	Coding	MedicationAdministrationCode
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
Slices for medication[x]	Σ	1..1	Reference()	What was administered Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AdministrationProduct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who received medication
effective[x]	Σ	1..1		AdministrationDateTime
effectiveDateTime			dateTime
effectivePeriod			Period
notGiven	?!Σ	0..1	boolean	True if medication not administered
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.status	required	MedicationAdministrationStatus http://hl7.org/fhir/ValueSet/medication-admin-status|3.0.2 From the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministrationCategory http://hl7.org/fhir/ValueSet/medication-admin-category|3.0.2 From the FHIR Standard

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-2	error	MedicationAdministration	Reason not given is only permitted if NotGiven is true : reasonNotGiven.empty() or notGiven = true
mad-3	error	MedicationAdministration	Reason given is only permitted if NotGiven is false : reasonCode.empty() or notGiven.empty() or notGiven = 'false'

Snapshot View

Name	Flags	Card.	Type	Description & Constraints    Filter: Bindings Constraints Obligations
MedicationAdministration	C	0..*	Zib MedicationAdministration	MedicationAdministration Constraints: mad-2, mad-3
id	Σ	0..1	id	Logical id of this artifact
meta	Σ	0..1	Meta	Metadata about the resource
implicitRules	?!Σ	0..1	uri	A set of rules under which this content was created
language		0..1	code	Language of the resource content Binding: Common Languages (extensible): A human language. Additional Bindings Purpose All Languages Max Binding
text		0..1	Narrative	Text summary of the resource, for human interpretation This profile does not constrain the narrative in regard to content, language, or traceability to data elements
contained		0..*	Resource	Contained, inline Resources
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:agreedDateTime		0..*	dateTime	AgreedDateTime URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-AgreedDateTime
extension:doubleCheckPerformed		0..1	boolean	DoubleCheckPerformed URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DoubleCheckPerformed
extension:medicationTreatment		0..1	Identifier	Medicational Treatment URL: http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment
extension:deviatingAdministration		0..1	(Complex)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:deviation		0..*	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"deviation"
Slices for value[x]		0..1	boolean	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueBoolean		0..1	boolean	Value of extension
extension:reasonForDeviation		0..*	Extension	Extension
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
url		1..1	uri	"reasonForDeviation"
Slices for value[x]		0..1	CodeableConcept	Value of extension Slice: Unordered, Closed by type:$this
value[x]:valueCodeableConcept		0..1	CodeableConcept	Value of extension
url		1..1	uri	"http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration"
modifierExtension	?!	0..*	Extension	Extensions that cannot be ignored
identifier		0..*	Identifier	External identifier
definition	Σ	0..*	Reference(PlanDefinition | ActivityDefinition)	Instantiates protocol or definition
partOf	Σ	0..*	Reference(MedicationAdministration | Procedure)	Part of referenced event
status	?!Σ	1..1	code	MedicationAdministrationStatus Binding: MedicationAdministrationStatus (required): A set of codes indicating the current status of a MedicationAdministration.
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:orderStatus		0..1	CodeableConcept	OrderStatus URL: http://nictiz.nl/fhir/StructureDefinition/code-specification
value		0..1	code	Primitive value for code
category		1..1	CodeableConcept	Type of medication usage Binding: MedicationAdministrationCategory (preferred): A coded concept describing where the medication administered is expected to occur
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
Slices for coding	Σ	0..*	Coding	Code defined by a terminology system Slice: Unordered, Open by value:code
coding:MedicationAdministrationCode	Σ	0..*	Coding	MedicationAdministrationCode
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
system	Σ	0..1	uri	Identity of the terminology system Fixed Value: http://snomed.info/sct
version	Σ	0..1	string	Version of the system - if relevant
code	Σ	0..1	code	Symbol in syntax defined by the system Fixed Value: 18629005
display	Σ	0..1	string	Representation defined by the system
userSelected	Σ	0..1	boolean	If this coding was chosen directly by the user
text	Σ	0..1	string	Plain text representation of the concept
Slices for medication[x]	Σ	1..1	Reference()	What was administered Slice: Unordered, Closed by type:$this
medication[x]:medicationReference	Σ	1..1	Reference(HCIM PharmaceuticalProduct)	AdministrationProduct
subject	Σ	1..1	Reference(nl-core-patient | Group)	Who received medication
context		0..1	Reference(Encounter | EpisodeOfCare)	Encounter or Episode of Care administered as part of
supportingInformation		0..*	Reference(Resource | HCIM Dispense | HCIM PharmaceuticalProduct | HCIM DispenseRequest | HCIM AdministrationAgreement | HCIM MedicationAgreement | HCIM MedicationAdministration)	RelatedAgreement / MedicationAgreement / AdministrationAgreement
effective[x]	Σ	1..1		AdministrationDateTime
effectiveDateTime			dateTime
effectivePeriod			Period
performer	Σ	0..*	BackboneElement	Administrator
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
actor	Σ	1..1	Reference(nl-core-practitioner | nl-core-patient | nl-core-relatedperson | Device)	Individual who was performing
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:practitionerRole		0..1	Reference(nl-core-practitionerrole)	Optional Extensions Element URL: http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
onBehalfOf		0..1	Reference(nl-core-organization)	Organization organization was acting for
notGiven	?!Σ	0..1	boolean	True if medication not administered
reasonNotGiven	C	0..*	CodeableConcept	Reason administration not performed Binding: SNOMED CT Reason Medication Not Given Codes (example): A set of codes indicating the reason why the MedicationAdministration is negated.
reasonCode	C	0..*	CodeableConcept	Reason administration performed Binding: Reason Medication Given Codes (example): A set of codes indicating the reason why the MedicationAdministration was made.
reasonReference		0..*	Reference(Condition | Observation)	Condition or Observation that supports why the medication was administered
prescription		0..1	Reference(MedicationRequest)	Request administration performed against
device		0..*	Reference(Device)	Device used to administer
id		0..1	string	xml:id (or equivalent in JSON)
Slices for extension		0..*	Extension	Extension Slice: Unordered, Open by value:url
extension:Peripheral		0..*	Reference(HCIM MedicalDevice)	Peripheral URL: http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice
reference	ΣC	0..1	string	Literal reference, Relative, internal or absolute URL
identifier	Σ	0..1	Identifier	Logical reference, when literal reference is not known
display	Σ	0..1	string	Text alternative for the resource
note		0..*	Annotation	Comment
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations Slice: Unordered, Open by value:url
author[x]	Σ	0..1		Individual responsible for the annotation
authorReference			Reference(Practitioner | Patient | RelatedPerson)
authorString			string
time	Σ	0..1	dateTime	When the annotation was made
text		1..1	string	AdministeringSystemComment
dosage	C	0..1	BackboneElement	Details of how medication was taken Constraints: mad-1
id		0..1	string	xml:id (or equivalent in JSON)
extension		0..*	Extension	Additional Content defined by implementations
modifierExtension	?!Σ	0..*	Extension	Extensions that cannot be ignored
text		0..1	string	Free text dosage instructions e.g. SIG
site		0..1	CodeableConcept	Body site administered to Binding: SNOMED CT Anatomical Structure for Administration Site Codes (example): A coded concept describing the site location the medicine enters into or onto the body.
route		1..1	CodeableConcept	RouteOfAdministration Binding: MedicatieToedieningToedieningswegCodelijst (extensible): MedicatieToedieningToedieningswegCodelijst
method		0..1	CodeableConcept	How drug was administered Binding: SNOMED CT Administration Method Codes (example): A coded concept describing the technique by which the medicine is administered.
dose		1..1	SimpleQuantity	AdministeredAmount Binding: G-Standaard Eenhedentabel (required): GstdTabel902
rate[x]		0..1		AdministeringSpeed
rateRatio			Ratio
rateQuantity			Quantity(SimpleQuantity)
eventHistory		0..*	Reference(Provenance)	A list of events of interest in the lifecycle
Documentation for this format

Terminology Bindings

Path	Conformance	ValueSet	URI
MedicationAdministration.language	extensible	Common Languages http://hl7.org/fhir/ValueSet/languages|3.0.2 From the FHIR Standard Additional Bindings Purpose All Languages Max Binding
MedicationAdministration.status	required	MedicationAdministrationStatus http://hl7.org/fhir/ValueSet/medication-admin-status|3.0.2 From the FHIR Standard
MedicationAdministration.category	preferred	MedicationAdministrationCategory http://hl7.org/fhir/ValueSet/medication-admin-category|3.0.2 From the FHIR Standard
MedicationAdministration.reasonNotGiven	example	SNOMED CT Reason Medication Not Given Codes http://hl7.org/fhir/ValueSet/reason-medication-not-given-codes|3.0.2 From the FHIR Standard
MedicationAdministration.reasonCode	example	Reason Medication Given Codes http://hl7.org/fhir/ValueSet/reason-medication-given-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.site	example	SNOMED CT Anatomical Structure for Administration Site Codes http://hl7.org/fhir/ValueSet/approach-site-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.route	extensible	MedicatieToedieningToedieningswegCodelijst(a valid code from urn:oid:2.16.840.1.113883.2.4.4.9) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2--20171231000000 From this IG
MedicationAdministration.dosage.method	example	SNOMED CT Administration Method Codes http://hl7.org/fhir/ValueSet/administration-method-codes|3.0.2 From the FHIR Standard
MedicationAdministration.dosage.dose	required	GstdTabel902(a valid code from urn:oid:2.16.840.1.113883.2.4.4.1.900.2) http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.20.77.11.27--20160830202453 From this IG

Constraints

Id	Grade	Path(s)	Details	Requirements
dom-1	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain any narrative : contained.text.empty()
dom-2	error	MedicationAdministration	If the resource is contained in another resource, it SHALL NOT contain nested Resources : contained.contained.empty()
dom-3	error	MedicationAdministration	If the resource is contained in another resource, it SHALL be referred to from elsewhere in the resource : contained.where(('#'+id in %resource.descendants().reference).not()).empty()
dom-4	error	MedicationAdministration	If a resource is contained in another resource, it SHALL NOT have a meta.versionId or a meta.lastUpdated : contained.meta.versionId.empty() and contained.meta.lastUpdated.empty()
ele-1	error	**ALL** elements	All FHIR elements must have a @value or children : hasValue() | (children().count() > id.count())
ext-1	error	**ALL** extensions	Must have either extensions or value[x], not both : extension.exists() != value.exists()
mad-1	error	MedicationAdministration.dosage	SHALL have at least one of dosage.dose or dosage.rate[x] : dose.exists() or rate.exists()
mad-2	error	MedicationAdministration	Reason not given is only permitted if NotGiven is true : reasonNotGiven.empty() or notGiven = true
mad-3	error	MedicationAdministration	Reason given is only permitted if NotGiven is false : reasonCode.empty() or notGiven.empty() or notGiven = 'false'

This structure is derived from Zib MedicationAdministration

Summary

Extensions

This structure refers to these extensions:

• http://nictiz.nl/fhir/StructureDefinition/extension-medicaldevice

Other representations of profile: CSV, Excel, Schematron