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.
Purpose
The goal of administering the medication is to provide insight into the actual administered products.
Information Model
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:9.13.20928
MedicationAdministration
Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model.
The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well.
In principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet.
The date and time at which the medication was administered.
NL-CM:9.13.23171
AgreedDateTime
0..1
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.
NL-CM:9.13.21194
AdministeredAmount
0..1
Amount of the administered product.
NL-CM:9.13.23167
DeviatingAdministration
0..1
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.
NL-CM:9.13.21195
RouteOfAdministration
1
The route through which the medication is administered (oral, nasal, intravenous,...).
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.
NL-CM:9.13.23380
Patient
(0..1)
If the patient administered the medication themselves, indicate that here. If the medication is administered by a health professional or caregiver/family member/etc., the health professional is entered in the ‘Healthcare provider’ element or the caregiver/family member/etc. is entered in the ‘Contact’ element respectively.
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.
The status of the administration, as a description of the stage within the administering process. Only the status codes ‘completed’ and ‘cancelled’ apply to indivisible products (such as tablets or suppositories). For divisible products (such as infusions), doses can also be ‘suspended’ or ‘aborted’.
When documenting this, the following interpretations are used:
Active: The product is administered.
Interrupted: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use.
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
MedicationAdministration
AdministrationProduct::PharmaceuticalProduct
or as spreadsheet 