Logical model representing the nursing assessment questionnaire for OPAT home hospitalization patients receiving short IV administration. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Compared to the continuous infusion questionnaire, this model does not include infusor weight measurements.

Nursing Assessment

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Storage

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage

Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)

Preparation of Medication Administration

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

The medication was completely dissolved into a clear solution without visible particles (SNOMED 396076000) | Answers: 373066001 Yes | 373067005 No

Medication Administration

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Was the medication administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No

Specify deviation (conditional: if administeredPerProcedure = No)

Vital Parameters

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Body temperature (°C) (LOINC 8310-5)

Pulse (beats/min) (SNOMED 364075005)

Blood pressure - systolic (mmHg) (LOINC 8480-6)

Blood pressure - diastolic (mmHg) (LOINC 8462-4)

Dressing Observation at Insertion Site

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Dressing observation at insertion site (SNOMED 364554009) | Answers: 17621005 Normal | 263654008 Abnormal

Bloody (SNOMED 297968009) | Answers: 373066001 Yes | 373067005 No (conditional: if dressingObservation = Abnormal)

Purulent (SNOMED 225550006) | Answers: 373066001 Yes | 373067005 No

Loose (SNOMED 78799005) | Answers: 373066001 Yes | 373067005 No

Serous (SNOMED 447112000) | Answers: 373066001 Yes | 373067005 No

Moist (SNOMED 17461003) | Answers: 373066001 Yes | 373067005 No

Other dressing observation problem, if applicable (SNOMED 1481000124102)

Insertion Site Observation

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Insertion site observation (SNOMED 386141001) | Answers: 17621005 Normal | 263654008 Abnormal

Blistering (SNOMED 339008) | Answers: 373066001 Yes | 373067005 No (conditional: if insertionSiteObservation = Abnormal)

Redness (SNOMED 371240000) | Answers: 373066001 Yes | 373067005 No

Hematoma (SNOMED 35566002) | Answers: 373066001 Yes | 373067005 No

Pus (SNOMED 367646009) | Answers: 373066001 Yes | 373067005 No

Crusting / crust formation (SNOMED 69640009) | Answers: 373066001 Yes | 373067005 No

Swelling (SNOMED 65124004) | Answers: 373066001 Yes | 373067005 No

Extravasation/infiltration (SNOMED 76676007) | Answers: 373066001 Yes | 373067005 No

Other insertion site observation, if applicable (SNOMED 364554009)

Catheter Observation

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Type of catheter (SNOMED 246138005) | Answers: 52124006 Port catheter | 1396546006 1-lumen tunneled | 1396570005 2-lumen tunneled | 1396538005 3-lumen tunneled | 1396531004 Single lumen midline | 1396527005 Double lumen midline | 1396526001 Single lumen PICC | 1396489007 Double lumen PICC | 423954007 Peripheral catheter

Catheter observation (SNOMED 1156071007) | Answers: 17621005 Normal | 263654008 Abnormal

Per-lumen observation (specify per lumen; conditional: if catheterObservation = Abnormal)

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Color of lumen hub (SNOMED 1396483008) | Answers: 371253002 Gray | 371251000 White | 371240000 Red | 371250004 Purple

Blood aspiration (SNOMED 25797006) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible

Infusion (SNOMED 36576007) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible

Damaged catheter (SNOMED 1156074004) | Answers: 373066001 Yes | 373067005 No

Other catheter observation, if applicable (SNOMED 406148008)

Side Effects

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Skin rash (SNOMED 271807003) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Itching (SNOMED 418290006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Blisters/skin peeling (SNOMED 271767006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Nausea (SNOMED 422587007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Vomiting (SNOMED 249497008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Diarrhea (SNOMED 62315008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Constipation (SNOMED 14760008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Decreased appetite / taste change (SNOMED 64379006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Pain during administration (SNOMED 698749006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Pain general (SNOMED 112104007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Fatigue (SNOMED 224960004) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Chills (SNOMED 43724002) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Candidiasis / fungal infection (SNOMED 78048006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Joint pain (SNOMED 57676002) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Breathing problems / shortness of breath (SNOMED 267036007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Swelling of face/tongue (SNOMED 278528006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Other symptoms or relevant clinical/psychosocial observations (SNOMED 365275006)

Quality Follow-Up

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)

Logical model representing the nursing assessment questionnaire for OPAT home hospitalization patients receiving short IV administration. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Compared to the continuous infusion questionnaire, this model does not include infusor weight measurements.

Nursing Assessment

Storage

Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage

Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)

Preparation of Medication Administration

The medication was completely dissolved into a clear solution without visible particles (SNOMED 396076000) | Answers: 373066001 Yes | 373067005 No

Medication Administration

Was the medication administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No

Specify deviation (conditional: if administeredPerProcedure = No)

Vital Parameters

Body temperature (°C) (LOINC 8310-5)

Pulse (beats/min) (SNOMED 364075005)

Blood pressure - systolic (mmHg) (LOINC 8480-6)

Blood pressure - diastolic (mmHg) (LOINC 8462-4)

Dressing Observation at Insertion Site

Dressing observation at insertion site (SNOMED 364554009) | Answers: 17621005 Normal | 263654008 Abnormal

Bloody (SNOMED 297968009) | Answers: 373066001 Yes | 373067005 No (conditional: if dressingObservation = Abnormal)

Purulent (SNOMED 225550006) | Answers: 373066001 Yes | 373067005 No

Loose (SNOMED 78799005) | Answers: 373066001 Yes | 373067005 No

Serous (SNOMED 447112000) | Answers: 373066001 Yes | 373067005 No

Moist (SNOMED 17461003) | Answers: 373066001 Yes | 373067005 No

Other dressing observation problem, if applicable (SNOMED 1481000124102)

Insertion Site Observation

Insertion site observation (SNOMED 386141001) | Answers: 17621005 Normal | 263654008 Abnormal

Blistering (SNOMED 339008) | Answers: 373066001 Yes | 373067005 No (conditional: if insertionSiteObservation = Abnormal)

Redness (SNOMED 371240000) | Answers: 373066001 Yes | 373067005 No

Hematoma (SNOMED 35566002) | Answers: 373066001 Yes | 373067005 No

Pus (SNOMED 367646009) | Answers: 373066001 Yes | 373067005 No

Crusting / crust formation (SNOMED 69640009) | Answers: 373066001 Yes | 373067005 No

Swelling (SNOMED 65124004) | Answers: 373066001 Yes | 373067005 No

Extravasation/infiltration (SNOMED 76676007) | Answers: 373066001 Yes | 373067005 No

Other insertion site observation, if applicable (SNOMED 364554009)

Catheter Observation

Type of catheter (SNOMED 246138005) | Answers: 52124006 Port catheter | 1396546006 1-lumen tunneled | 1396570005 2-lumen tunneled | 1396538005 3-lumen tunneled | 1396531004 Single lumen midline | 1396527005 Double lumen midline | 1396526001 Single lumen PICC | 1396489007 Double lumen PICC | 423954007 Peripheral catheter

Catheter observation (SNOMED 1156071007) | Answers: 17621005 Normal | 263654008 Abnormal

Per-lumen observation (specify per lumen; conditional: if catheterObservation = Abnormal)

Color of lumen hub (SNOMED 1396483008) | Answers: 371253002 Gray | 371251000 White | 371240000 Red | 371250004 Purple

Blood aspiration (SNOMED 25797006) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible

Infusion (SNOMED 36576007) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible

Damaged catheter (SNOMED 1156074004) | Answers: 373066001 Yes | 373067005 No

Other catheter observation, if applicable (SNOMED 406148008)

Side Effects

Skin rash (SNOMED 271807003) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Itching (SNOMED 418290006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Blisters/skin peeling (SNOMED 271767006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Nausea (SNOMED 422587007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Vomiting (SNOMED 249497008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Diarrhea (SNOMED 62315008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Constipation (SNOMED 14760008) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Decreased appetite / taste change (SNOMED 64379006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Pain during administration (SNOMED 698749006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Pain general (SNOMED 112104007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Fatigue (SNOMED 224960004) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Chills (SNOMED 43724002) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Candidiasis / fungal infection (SNOMED 78048006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Joint pain (SNOMED 57676002) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Breathing problems / shortness of breath (SNOMED 267036007) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Swelling of face/tongue (SNOMED 278528006) | Answers: 2667000 None | 255604002 Mild | 6736007 Moderate | 24484000 Severe

Other symptoms or relevant clinical/psychosocial observations (SNOMED 365275006)

Quality Follow-Up

Remarks or concerns about patient registration, data sharing, hospital communication, material availability, or other transmural collaboration aspects (SNOMED 276238005)

Logical model representing the nursing assessment questionnaire for OPAT home hospitalization patients receiving short IV administration. This questionnaire is filled in by the home nurse during each visit and exchanged as a FHIR QuestionnaireResponse with the hospital. Compared to the continuous infusion questionnaire, this model does not include infusor weight measurements.

Nursing Assessment

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Storage

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Are there any remarks or concerns regarding the (proper) home storage of medication? (SNOMED 422413002) | Answers: 710977001 Medication stored correctly | 424363005 Concern about proper home storage

Specify remarks or concerns (conditional: if medicationStorageRemarks = concern)

Preparation of Medication Administration

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

The medication was completely dissolved into a clear solution without visible particles (SNOMED 396076000) | Answers: 373066001 Yes | 373067005 No

Medication Administration

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Was the medication administered exactly according to the procedure (no deviations)? (SNOMED 373149000) | Answers: 373066001 Yes | 373067005 No

Specify deviation (conditional: if administeredPerProcedure = No)

Vital Parameters

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Body temperature (°C) (LOINC 8310-5)

Pulse (beats/min) (SNOMED 364075005)

Blood pressure - systolic (mmHg) (LOINC 8480-6)

Blood pressure - diastolic (mmHg) (LOINC 8462-4)

Dressing Observation at Insertion Site

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Dressing observation at insertion site (SNOMED 364554009) | Answers: 17621005 Normal | 263654008 Abnormal

Bloody (SNOMED 297968009) | Answers: 373066001 Yes | 373067005 No (conditional: if dressingObservation = Abnormal)

Purulent (SNOMED 225550006) | Answers: 373066001 Yes | 373067005 No

Loose (SNOMED 78799005) | Answers: 373066001 Yes | 373067005 No

Serous (SNOMED 447112000) | Answers: 373066001 Yes | 373067005 No

Moist (SNOMED 17461003) | Answers: 373066001 Yes | 373067005 No

Other dressing observation problem, if applicable (SNOMED 1481000124102)

Insertion Site Observation

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Insertion site observation (SNOMED 386141001) | Answers: 17621005 Normal | 263654008 Abnormal

Blistering (SNOMED 339008) | Answers: 373066001 Yes | 373067005 No (conditional: if insertionSiteObservation = Abnormal)

Redness (SNOMED 371240000) | Answers: 373066001 Yes | 373067005 No

Hematoma (SNOMED 35566002) | Answers: 373066001 Yes | 373067005 No

Pus (SNOMED 367646009) | Answers: 373066001 Yes | 373067005 No

Crusting / crust formation (SNOMED 69640009) | Answers: 373066001 Yes | 373067005 No

Swelling (SNOMED 65124004) | Answers: 373066001 Yes | 373067005 No

Extravasation/infiltration (SNOMED 76676007) | Answers: 373066001 Yes | 373067005 No

Other insertion site observation, if applicable (SNOMED 364554009)

Catheter Observation

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Type of catheter (SNOMED 246138005) | Answers: 52124006 Port catheter | 1396546006 1-lumen tunneled | 1396570005 2-lumen tunneled | 1396538005 3-lumen tunneled | 1396531004 Single lumen midline | 1396527005 Double lumen midline | 1396526001 Single lumen PICC | 1396489007 Double lumen PICC | 423954007 Peripheral catheter

Catheter observation (SNOMED 1156071007) | Answers: 17621005 Normal | 263654008 Abnormal

Per-lumen observation (specify per lumen; conditional: if catheterObservation = Abnormal)

Unique id for the element within a resource (for internal references). This may be any string value that does not contain spaces.

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.

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.

• value @ url

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).

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.

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.

Color of lumen hub (SNOMED 1396483008) | Answers: 371253002 Gray | 371251000 White | 371240000 Red | 371250004 Purple

Blood aspiration (SNOMED 25797006) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible

Infusion (SNOMED 36576007) | Answers: 36203004 Easy | 52925006 Difficult | 385671000 Impossible