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
Extension: HCIM Deviating Administration
| Official URL: http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration | Version: 1.3.15 | |||
| Active as of 2025-09-22 | Computable Name: Zib Deviating Administration | |||
Copyright/Legal: CC0 |
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In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether.
Added to define if the medication adminstration deviates from the medication request is was based on.
Context of Use
This extension may be used on the following element(s):
- Element ID MedicationAdministration
Usage info
Usages:
- Use this Extension: HCIM MedicationAdministration
You can also check for usages in the FHIR IG Statistics
Formal Views of Extension Content
Description of Profiles, Differentials, Snapshots, and how the XML and JSON presentations work.
This structure is derived from Extension
Summary
Complex Extension: In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether.
- deviation: boolean: In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether
- reasonForDeviation: CodeableConcept: Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes.
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter:   |
|---|---|---|---|---|
  Extension |
Extension | |||
  Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
   extension:deviation |
0..* | Extension | DeviatingAdministration | |
  url |
1..1 | uri | "deviation" | |
  Slices for valueBoolean |
Content/Rules for all slices | |||
  valueBoolean:valueBoolean |
0..1 | boolean | Value of extension | |
 extension:reasonForDeviation |
0..* | Extension | MedicationAdministrationReasonForDeviation | |
| url |
1..1 | uri | "reasonForDeviation" | |
| Slices for valueCodeableConcept |
Content/Rules for all slices | |||
| valueCodeableConcept:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension | |
 url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration" | |
 value[x] |
0..0 | |||
| Documentation for this format | ||||
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Optional Extensions Element | |
 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 | DeviatingAdministration | |
| 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:$this | |
| value[x]:valueBoolean |
0..1 | boolean | Value of extension | |
| extension:reasonForDeviation |
0..* | Extension | MedicationAdministrationReasonForDeviation | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "reasonForDeviation" | |
| Slices for value[x] |
0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration" | |
| Documentation for this format | ||||
This structure is derived from Extension
Summary
Complex Extension: In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether.
- deviation: boolean: In the administration, was there a deviation from the medication or administration agreement? This can be a deviation in product, time, amount, route of administration or administering speed or foregoing administration altogether
- reasonForDeviation: CodeableConcept: Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes.
Differential View
This structure is derived from Extension
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
Extension | |||
| Slices for extension |
0..* | Extension | Extension Slice: Unordered, Open by value:url | |
| extension:deviation |
0..* | Extension | DeviatingAdministration | |
| url |
1..1 | uri | "deviation" | |
| Slices for valueBoolean |
Content/Rules for all slices | |||
| valueBoolean:valueBoolean |
0..1 | boolean | Value of extension | |
| extension:reasonForDeviation |
0..* | Extension | MedicationAdministrationReasonForDeviation | |
| url |
1..1 | uri | "reasonForDeviation" | |
| Slices for valueCodeableConcept |
Content/Rules for all slices | |||
| valueCodeableConcept:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration" | |
| value[x] |
0..0 | |||
| Documentation for this format | ||||
Snapshot View
| Name | Flags | Card. | Type | Description & Constraints Filter: |
|---|---|---|---|---|
| Extension |
0..* | Extension | Optional Extensions Element | |
| 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 | DeviatingAdministration | |
| 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:$this | |
| value[x]:valueBoolean |
0..1 | boolean | Value of extension | |
| extension:reasonForDeviation |
0..* | Extension | MedicationAdministrationReasonForDeviation | |
| id |
0..1 | string | xml:id (or equivalent in JSON) | |
| extension |
0..* | Extension | Additional Content defined by implementations Slice: Unordered, Open by value:url | |
| url |
1..1 | uri | "reasonForDeviation" | |
| Slices for value[x] |
0..1 | CodeableConcept | Value of extension Slice: Unordered, Closed by type:$this | |
| value[x]:valueCodeableConcept |
0..1 | CodeableConcept | Value of extension | |
| url |
1..1 | uri | "http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAdministration-DeviatingAdministration" | |
| Documentation for this format | ||||
Other representations of profile: CSV, Excel, Schematron
Constraints
| Id | Grade | Path(s) | Details | Requirements |
| 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() |