Brontekst bekijken van InstructionsForUse-v3.0(2024EN)

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.12(EN)|1|InstructionsForUse-v3.0(2024EN)}}
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==General information<!--hdGeneralInformation-->==
Name<!--hdName-->: '''nl.zorg.part.InstructionsForUse''' [[Bestand:NL.png|link=GebruiksInstructie-v3.0(2024NL)]]<BR>
Version<!--hdVersion-->: '''3.0''' <br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2024''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 15-04-2024
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{{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|- 
|style="width:250px; "|DCM::CoderList||Projectgroep Medicatieproces
|- 
|style="width:250px; "|DCM::ContactInformation.Address||
|- 
|style="width:250px; "|DCM::ContactInformation.Name||
|- 
|style="width:250px; "|DCM::ContactInformation.Telecom||
|- 
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Medicatieproces 
|- 
|style="width:250px; "|DCM::CreationDate||1-3-2017
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Name||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|- 
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.9.12
|- 
|style="width:250px; "|DCM::KeywordList||
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||
|- 
|style="width:250px; "|DCM::Name||nl.zorg.part.GebruiksInstructie
|- 
|style="width:250px; "|DCM::PublicationDate||15-04-2024
|- 
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|- 
|style="width:250px; "|DCM::ReviewerList||Projectgroep Medicatieproces &amp; Architectuurgroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::RevisionDate||10-04-2024
|- 
|style="width:250px; "|DCM::Supersedes||nl.zorg.part.GebruiksInstructie-v2.0.1
|- 
|style="width:250px; "|DCM::Version||3.0
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
'' Only available in Dutch<!--noTranslation-->''

<u>Publicatieversie 1.0</u> (04-09-2017)

<u>Publicatieversie 1.1</u> (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-617 | ZIB-617 ]]
|Toevoeging aan Eenheid van Keerdosis
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-643 | ZIB-643 ]]
|Kleine tekstuele verbeteringen
|}

<u>Publicatieversie 1.1.1</u> (01-10-2018)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-637 | ZIB-637 ]]
|Beschrijving Toedieningsduur aanpassen
|}

<u>Publicatieversie 1.1.2</u> (26-02-2019)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-644 | ZIB-644 ]]
|Aanvullende instructie: geen string maar code
|}

<u>Publicatieversie 1.1.3 </u>(06-07-2019)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-786 | ZIB-786 ]]
|aanpassing omschrijving &#39;Aanvullende instructie&#39;
|}

<u>Publicatieversie 1.2 </u>(31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-909 | ZIB-909 ]]
|waarde toevoegen aan waardelijst voor zo nodig criterium
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-785 | ZIB-785 ]]
|Aanpassing omschrijving &#39;keerdosis&#39;
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-787 | ZIB-787 ]]
|aanpassing waardenlijst &#39;Toedieningsweg&#39;
|}

Publicatieversie <u>1.3.0</u> (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-782 | ZIB-782 ]]
|Aanpassing omschrijving &#39;criterium&#39; (mp-dataelement900-19945)
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-799 | ZIB-799 ]]
|DurationOfAdministration een TimeInterval in plaats van een Range
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1028 | ZIB-1028 ]]
|Verwijzing naar NHG tabel aanpassing
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1032 | ZIB-1032 ]]
|Omschrijving bij doseerduur (zin verwijderen)
|}

Publicatieversie <u>1.3</u> (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1305 | ZIB-1305 ]]
|Dagdeel is vertaald naar &#39;time of day&#39;
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1380 | ZIB-1380 ]]
|Aanpassing omschrijving codetabel
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1411 | ZIB-1411 ]]
|Verkeerde Engelse vertaling voor MaximaleDosering
|}

Publicatieversie <u>2.0</u> (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1464 | ZIB-1464 ]]
|Geen informatie
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1727 | ZIB-1727 ]]
|Verzameling errata bouwsteen Gebruiksinstructie (zit in MA, TA en MGB)
|}

Publicatieversie <u>2.0.1</u> (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1974 | ZIB-1974 ]]
|Suggested typo and textual improvements
|}

Publicatieversie <u>3.0</u> (15-04-2024)
{|
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2140 | ZIB-2140 ]]
|2023-1 CodeSystem &quot;2.16.840.1.113883.2.4.4.5&quot; heeft meerdere namen
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2176 | ZIB-2176 ]]
|Ucum waardes beperken volgens medicatieproces
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2149 | ZIB-2149 ]]
|Aanvullende instructie omschrijving uitbreiden
|}
</div>

==Concept==
Instructions for the use or administration of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed. <BR>
This is a partial information model.

==Purpose==
InstructionsForUse gives an insight into the manner a drug is to be used.

==Information Model==
<BR>
<imagemap> Bestand:InstructionsForUse-v3.0Model(2024EN).png | center 
rect 380 110 480 180 [[#2543]]
rect 47 829 203 879 [[#AsNeededCriteriumCodelist]]
rect 544 114 744 174 [[#RouteOfAdministrationCodelist]]
rect 647 829 759 889 [[#PartOfDayCodelist]]
rect 496 829 625 889 [[#WeekDayCodelist]]
rect 222 738 322 808 [[#1384]]
rect 85 738 175 808 [[#1402]]
rect 651 738 741 808 [[#1387]]
rect 513 737 603 807 [[#1395]]
rect 651 597 741 667 [[#1390]]
rect 651 475 741 545 [[#1389]]
rect 383 737 473 807 [[Range-v1.0.1(2024EN)]]
rect 323 597 431 667 [[Range-v1.0.1(2024EN)]]
rect 497 597 603 667 [[#1391]]
rect 159 597 249 667 [[#1399]]
rect 159 456 249 526 [[Range-v1.0.1(2024EN)]]
rect 323 456 431 526 [[#1385]]
rect 159 334 249 404 [[#1396]]
rect 505 334 595 404 [[#1397]]
rect 323 334 431 404 [[#1388]]
rect 83 220 248 290 [[#1400]]
rect 505 222 595 292 [[#1403]]
rect 239 109 329 179 [[#1406]]
rect 323 222 431 292 [[#1407]]
rect 353 43 507 93 [[#AdditionalInstructionsCodelist]]
rect 497 457 606 527 [[TimeInterval-v1.3(2024EN)]]
desc none
</imagemap>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" 
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
||NL-CM:9.12.22504
|colspan ="6" style ="padding-left: 0px"|<span Id=1407 Title="NL: GebruiksInstructie">[[Bestand: arrowdown.png | 10px | link=]]InstructionsForUse</span>
|
|Root concept of the InstructionsForUse partial information model. This root concept contains all data elements of the InstructionsForUse partial information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.12.19944
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=2543 Title="NL: AanvullendeInstructies">[[Bestand: arrowright.png | 10px | link=]]AdditionalInstructions</span>
|0..*
|The additional instructions contain extra information on the use of the current prescription.
This includes all instructions for use. The text can come from the original “paper&quot; medication prescription, but can also be generated from the coded information. 
This concept may contain more information than what is structurally coded in the information below, but may not conflict with it. 
The instructions may not conflict with other components of the request for administration. 
The instructions can also refer to an existing protocol. 
The texts in the G-standard that can support this attribute are included in table 362 and are a copy of the texts from the general practitioner&#39; standard &#39;NHG-tabel Gebruiksvoorschrift&#39; which are included in the CIM. These texts can be used to structure this concept.
|
|
{|
|-
|[[Bestand: List2.png | link=#AdditionalInstructionsCodelist]]||[[#AdditionalInstructionsCodelist|AdditionalInstructionsCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:9.12.9581
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=1406 Title="NL: Omschrijving">[[Bestand: arrowright.png | 10px | link=]]Description</span>
|0..1
|Textual description of the complete instructions for use including the period of use.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.12.22505
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=1400 Title="NL: HerhaalperiodeCyclischSchema">[[Bestand: arrowright.png | 10px | link=]]RepeatPeriodCyclicalSchedule</span>
|0..1
|The repeated period in a cyclical schedule (of one or more dosing instructions). A cyclic schedule is noted in days, the corresponding dosing duration is also in days.

Examples of a cyclical schedule:  
contraceptive pill (21 days, 1 pill 1x a day, then skip for 7 days, repeat), repeat period here is 28 days
Permitted units for the duration:  day.

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.12.19941
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=1403 Title="NL: Toedieningsweg">[[Bestand: arrowright.png | 10px | link=]]RouteOfAdministration</span>
|0..1
|The route through which the medication is administered (oral, nasal, intravenous, etc.).
|
|
{|
|-
|[[Bestand: List2.png | link=#RouteOfAdministrationCodelist]]||[[#RouteOfAdministrationCodelist|RouteOfAdministrationCodelist]]
|}
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:9.12.22095
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|<span Id=1388 Title="NL: Doseerinstructie">[[Bestand: arrowdown.png | 10px | link=]]DosingInstructions</span>
|0..*
|Dosing instructions
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.12.22506
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=1396 Title="NL: Doseerduur">[[Bestand: arrowright.png | 10px | link=]]DoseDuration</span>
|0..1
|The intended time duration for these dosing instructions, &lt;i&gt;e.g&lt;/i&gt;. 5 days or 8 weeks. 
In the case of medication for an indefinite period, the dosing duration is left empty in the last dosing instruction.
Permitted units for the duration: hour, day, week, year.

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: INT.png| 16px | link=]]
||NL-CM:9.12.22503
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=1397 Title="NL: Volgnummer">[[Bestand: arrowright.png | 10px | link=]]SequenceNumber</span>
|0..1
|This indicates the sequence of the dosing instructions within the medication agreement.
|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:9.12.19935
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="4" style ="padding-left: 0px"|<span Id=1385 Title="NL: Dosering">[[Bestand: arrowdown.png | 10px | link=]]Dosage</span>
|0..*
|Container of the Dosage concept. This container contains all data elements of the Dosage concept. 
 
Instructions for the administrator to administer the medication (the patient themselves, a nurse or other aid). When taking stock of medication use, the dosage describes the pattern of use established by the patient. 
 
Once the dose schedule (distribution of doses over time) and the dose have been determined, then there should be one single instruction for use. 
 
Multiple &lt;i&gt;parallel&lt;/i&gt; instructions for use can be included in the event of a changing dose within one day and in the event of a variable use frequency. 
 
Multiple &lt;i&gt;sequential&lt;/i&gt; instructions for use can be included in the event of changing doses within one period and/or in the event of a changing dose schedule.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.12.19942
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=1404 Title="NL: Toedieningssnelheid::Bereik">[[Bestand: arrowright.png | 10px | link=]]AdministeringSpeed::Range</span>
|0..1
|The administering speed is used in slow administration of liquid. In practice, the measuring unit is almost always ml/hour. 
Entering an interval (such as 0-10 ml/hour) is also a commonly used option. 

For example, with an administering speed of 10ml/hour: 
&lt;ul&gt;
	&lt;li&gt;amount = 10, 
	&lt;li&gt;dose unit = ml, 
	&lt;li&gt;time unit = hour &lt;/li&gt;&lt;/ul&gt;
|
|
{|
|-
|[[Bestand: block.png | link=Range-v1.0.1(2024EN)]]||[[Range-v1.0.1(2024EN) |Range]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.12.23141
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=708 Title="NL: Toedieningsduur::TijdsInterval">[[Bestand: arrowright.png | 10px | link=]]DurationOfAdministration::TimeInterval</span>
|0..1
|The duration of administration defines the length of time during which the drug is administered and is mainly used in the slow parenteral administration of fluids.
Permitted units for the duration: second, minute, hour, day.

|
|
{|
|-
|[[Bestand: block.png | link=TimeInterval-v1.3(2024EN)]]||[[TimeInterval-v1.3(2024EN) |TimeInterval]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.12.19940
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=1405 Title="NL: Keerdosis::Bereik">[[Bestand: arrowright.png | 10px | link=]]Dose::Range</span>
|0..1
|The dose indicates the amount/unit per administration. The unit can be any unit that can occur with this particular medicine.
|
|
{|
|-
|[[Bestand: block.png | link=Range-v1.0.1(2024EN)]]||[[Range-v1.0.1(2024EN) |Range]]
|}
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:9.12.22512
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=1399 Title="NL: Zonodig">[[Bestand: arrowdown.png | 10px | link=]]AsNeeded</span>
|0..1
|As needed means that the dose is only to be administered under certain conditions.
See also the Instructions section for more information about use of the element.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.12.19945
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1402 Title="NL: Criterium">[[Bestand: arrowright.png | 10px | link=]]Condition</span>
|0..*
|The condition for administering medication can be: 
&lt;ul&gt;
	&lt;li&gt;a physiological measurement value (plasma glucose concentration, body temperature, blood pressure);&lt;/li&gt;
	&lt;li&gt;a symptom or other circumstance (in the event of a headache, or itch).&lt;/li&gt;
&lt;/ul&gt;
Supplemental information from G-standard bst362 make up the list of values for coded entering of this concept. Also always include the textual description of that code. 
Physiological measurement values or other conditions that do not occur in bst362 do not need to be coded. These can be expressed in free text in the Description concept.
|
|
{|
|-
|[[Bestand: List2.png | link=#AsNeededCriteriumCodelist]]||[[#AsNeededCriteriumCodelist|AsNeededCriteriumCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.12.19946
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1384 Title="NL: MaximaleDosering">[[Bestand: arrowright.png | 10px | link=]]MaximumDose</span>
|0..1
|A MaximumDose maximizes (in time) the usage of a drug in an &#39;as needed&#39; prescription.

Permitted units for the duration: minute, hour, day, week, year

|
|
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:9.12.19948
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="3" style ="padding-left: 0px"|<span Id=1391 Title="NL: Toedieningsschema">[[Bestand: arrowdown.png | 10px | link=]]AdministeringSchedule</span>
|0..1
|Specifications of the times at which the medication is to be administered. This is indicated as follows: 
&lt;ul&gt;
	&lt;li&gt;Time(s) (16:00) or indications (“before meals”) at which the medication is to be taken each day.&lt;/li&gt;
	&lt;li&gt;A specific number of times the medication is to be taken each day (&quot;3x a day&quot;), indicated with the frequency.&lt;/li&gt;
	&lt;li&gt;A time interval between consecutive doses (“Every 2 hours”, “every 3 days”), indicated with the word Interval.&lt;/li&gt;
	&lt;li&gt;Combined periods with an interval and duration (“1 daily for three out of four weeks: the pill schedule”)&lt;/li&gt;
&lt;/ul&gt;

If a certain medication is not to be taken daily, the aforementioned can be combined with daily indications: 
&lt;ul&gt;
	&lt;li&gt;One or more week days on which the medication is to be administered (e.g. “Monday, Wednesday, Friday”)&lt;/li&gt;
	&lt;li&gt;”3x a week”, “2x a month”.&lt;/li&gt;
&lt;/ul&gt;

The specified administration “infinite” is automatically to be repeated until:  
&lt;ul&gt;
	&lt;li&gt;The end date and time has been reached&lt;/li&gt;
	&lt;li&gt;The total administration duration has been reached (14 days)&lt;/li&gt;
	&lt;li&gt;A specific amount of administrations has been reached (“20 doses”), to be entered in the Frequency concept.&lt;/li&gt;
&lt;/ul&gt;

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.12.19949
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1393 Title="NL: Frequentie::Bereik">[[Bestand: arrowright.png | 10px | link=]]Frequency::Range</span>
|0..1
|The frequency indicates the number of dose moments per time unit, usually per day. If this frequency is included, then the Interval will not have been included. Usually, frequency comprises both amount and time unit (3 times a day), but it can occur without the time unit (single use). 

In that case, a reasonable distribution over the day is expected, but exact times are not given. This is left to the patient. It is the most common manner of extramural prescription. In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics). 

The time unit of the frequency must be the same as how it is indicated in the textual description of the dose. 

Example: 
for a &#39;2x a day...&#39; dose: 
&lt;ul&gt;
	&lt;li&gt;amount = 2 &lt;/li&gt;
	&lt;li&gt;time unit = &#39;day&#39;.&lt;/li&gt;
&lt;/ul&gt;
for a &#39;3x a week...&#39; dose: 
&lt;ul&gt;
	&lt;li&gt;amount = 3 &lt;/li&gt;
	&lt;li&gt;time unit = &#39;week&#39;.&lt;/li&gt;
&lt;/ul&gt;

Permitted units for the duration: minute, hour, day, week, month, year.

|
|
{|
|-
|[[Bestand: block.png | link=Range-v1.0.1(2024EN)]]||[[Range-v1.0.1(2024EN) |Range]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.12.19952
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1395 Title="NL: Weekdag">[[Bestand: arrowright.png | 10px | link=]]WeekDay</span>
|0..*
|WeekDay indicates a pattern of doses on fixed week days.
|
|
{|
|-
|[[Bestand: List2.png | link=#WeekDayCodelist]]||[[#WeekDayCodelist|WeekDayCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.12.19953
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1387 Title="NL: Dagdeel">[[Bestand: arrowright.png | 10px | link=]]DayPart</span>
|0..*
|Time of day: morning, afternoon, evening, night.
|
|
{|
|-
|[[Bestand: List2.png | link=#PartOfDayCodelist]]||[[#PartOfDayCodelist|PartOfDayCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:9.12.19951
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1390 Title="NL: Toedientijd">[[Bestand: arrowright.png | 10px | link=]]AdministrationTime</span>
|0..*
|The time of administration is a specific time of day (on the clock). This time usually isn’t (intended to be) exact. There can be multiple administering times in one day. 
 
The ideal time of administration can also be entered as a time of day (morning, afternoon, evening, night-time). The administration time is then to be left empty, and the time of day can be entered in the TimeOfDay concept.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.12.19950
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" |
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="2" style ="padding-left: 0px"|<span Id=1389 Title="NL: Interval">[[Bestand: arrowright.png | 10px | link=]]Interval</span>
|0..1
|Interval indicates the time between dose times. If this is included, then the &lt;i&gt;Frequency &lt;/i&gt;will not have been included. 

Examples: every 4 hours. 

The times can now be chosen freely, but distribution throughout the day is more precise, and the interval between times is important (e.g. in the case of antibiotics) 
In the case of Baxter packs and intramural care, such a prescription is used to draw up a (location-specific) outline for distribution times (logistics).
|
|
|}
Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]

==Example Instances==
''Only available in Dutch<!--noTranslation-->''

{|class="wikitable" width="930px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="4" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>Gebruiksinstructie</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 30%; "|<font color=#FFFFFF><b>Omschrijving</b></font>
| style="background-color: #548DD4; width: 16%; "|<font color=#FFFFFF><b>Doseerinstructie</b></font>
|colspan="2" style="background-color: #548DD4; width: 54%; "|
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 30%; "|
| style="background-color: #D9D9D9; width: 16%; "|Doseerduur
| style="background-color: #D9D9D9; width: 10%; "|Dosering<noWiki>|</noWiki>Keerdosis
| style="background-color: #D9D9D9; width: 44%; "|Toedieningsschema <noWiki>|</noWiki>Frequentie <noWiki>|</noWiki>Interval <noWiki>|</noWiki>Toedientijd <noWiki>|</noWiki>Weekdag <noWiki>|</noWiki>Dagdeel
|-style=vertical-align:top;
| style="width: 30%; "|Van 8-9-2017 tot 18-9-2017 1x per dag 1 stuk. Vanaf 18-9-2017 staken.
| style="width: 16%; "|
| style="width: 10%; "|1 stuk
| style="width: 44%; "|1x per dag
|-style=vertical-align:top;
| style="width: 30%; "|Vanaf 6 maart 2016 1x per week op maandag om 14uur 15 mg (=0,6 ml)
| style="width: 16%; "|
| style="width: 10%; "|15 mg (=0,6 ml)
| style="width: 44%; "|1x per week op maandag (14u)
|}

==Instructions==
AsNeeded dosage:<BR>
Using the term 'as needed' or a specific reason (e.g. 'in case of pain') to use medication leads to ambiguity. It is not always clear whether the whole dose is 'as needed' or only part of the dose. For example: 1x daily 1-2 tablets as needed. This can mean: 1 tablet fixed per day and 1 tablet as needed or, as needed, a maximum of 2 tablets. As needed medication is not included in GDS. In the first situation, 1 tablet comes in the GDS (drug dispensing systems) and 1 tablet is delivered separately. In the second situation there is only separate delivery. The system must make sufficiently clear whether the entire instruction or part of the dose is necessary. The HCIM supports both options described above.<BR>
RouteOfAdministration:<BR>
For choosing the route of administration the advice is to use bst760 to search for the right code. For more information about the g-standard see https://www.z-index.nl/english

== Valuesets ==
=== AdditionalInstructionsCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.12.5
|Binding<!--vsBindingTag-->: Extensible
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|Alle Waarden
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|}
Note:<!--vsNotes--> G-standard table 362 is a copy of NHG table 25
=== AsNeededCriteriumCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.12.4
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|Bij een aanval
|1022
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij een aanval
|-style="vertical-align:top; "
|Bij benauwdheid
|1023
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij benauwdheid
|-style="vertical-align:top; "
|Bij diarree
|1024
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij diarree
|-style="vertical-align:top; "
|Bij pijn
|1028
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij pijn
|-style="vertical-align:top; "
|Bij jeuk
|1121
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij jeuk
|-style="vertical-align:top; "
|Zo nodig
|1137
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Zo nodig
|-style="vertical-align:top; "
|Bij hoofdpijn
|1144
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij hoofdpijn
|-style="vertical-align:top; "
|Bij koorts
|1145
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij koorts
|-style="vertical-align:top; "
|Bij hoge koorts
|1146
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij hoge koorts
|-style="vertical-align:top; "
|Bij koorts en/of pijn
|1147
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij koorts en/of pijn
|-style="vertical-align:top; "
|Bij hoest
|1387
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij hoest
|-style="vertical-align:top; "
|Bij menstruatiepijnen
|1540
|NHG tabel 25 aanvullende teksten numeriek
|2.16.840.1.113883.2.4.4.5
|Bij menstruatiepijnen
|-style="vertical-align:top; "
|Overig
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Overig
|-style="vertical-align:top; "
|Geen Informatie
|NI
|NullFlavor
|2.16.840.1.113883.5.1008
|Geen Informatie
|}
=== PartOfDayCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.12.3
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|<span title = "&#39;s ochtends (qualifier value)">Morning</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=73775008 73775008]
|SNOMED CT
|2.16.840.1.113883.6.96
|&#39;s ochtends
|-style="vertical-align:top; "
|<span title = "&#39;s middags (qualifier value)">During afternoon</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=255213009 255213009]
|SNOMED CT
|2.16.840.1.113883.6.96
|&#39;s middags
|-style="vertical-align:top; "
|<span title = "&#39;s avonds (qualifier value)">Evening</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=3157002 3157002]
|SNOMED CT
|2.16.840.1.113883.6.96
|&#39;s avonds
|-style="vertical-align:top; "
|<span title = "&#39;s nachts (qualifier value)">Night time</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=2546009 2546009]
|SNOMED CT
|2.16.840.1.113883.6.96
|&#39;s nachts
|}
=== RouteOfAdministrationCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.12.1
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|-style="vertical-align:top; "
|All values
|G-Standaard Toedieningswegen
|2.16.840.1.113883.2.4.4.9
|}
=== WeekDayCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.12.2
|Binding<!--vsBindingTag-->: Required
|}
{| class="wikitable"  width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname<!--vsConceptName-->
|Conceptcode<!--vsConceptCode-->
|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
|Description<!--vsDescription-->
|-style="vertical-align:top; "
|<span title = "Maandag (qualifier value)">Monday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307145004 307145004]
|SNOMED CT
|2.16.840.1.113883.6.96
|maandag
|-style="vertical-align:top; "
|<span title = "Dinsdag (qualifier value)">Tuesday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307147007 307147007]
|SNOMED CT
|2.16.840.1.113883.6.96
|dinsdag
|-style="vertical-align:top; "
|<span title = "Woensdag (qualifier value)">Wednesday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307148002 307148002]
|SNOMED CT
|2.16.840.1.113883.6.96
|woensdag
|-style="vertical-align:top; "
|<span title = "Donderdag (qualifier value)">Thursday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307149005 307149005]
|SNOMED CT
|2.16.840.1.113883.6.96
|donderdag
|-style="vertical-align:top; "
|<span title = "Vrijdag (qualifier value)">Friday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307150005 307150005]
|SNOMED CT
|2.16.840.1.113883.6.96
|vrijdag
|-style="vertical-align:top; "
|<span title = "Zaterdag (qualifier value)">Saturday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307151009 307151009]
|SNOMED CT
|2.16.840.1.113883.6.96
|zaterdag
|-style="vertical-align:top; "
|<span title = "Zondag (qualifier value)">Sunday</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=307146003 307146003]
|SNOMED CT
|2.16.840.1.113883.6.96
|zondag
|}

==This information model in other releases<!--ftOtherReleases-->==
<!-- Hieronder wordt een transclude page aangeroepen -->
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.12(EN)|2|2024}}
<!-- Tot hier de transclude page -->
==Information model references<!--ftReferences-->==
====This information model refers to<!--ftRefersTo-->====
*[[Range-v1.0.1(2024EN)|Range-v1.0.1]]
*[[TimeInterval-v1.3(2024EN)|TimeInterval-v1.3]]
====This information model is used in<!--ftReferredBy-->====
*[[AdministrationAgreement-v3.0(2024EN)|AdministrationAgreement-v3.0]]
*[[MedicationAgreement-v3.0(2024EN)|MedicationAgreement-v3.0]]
*[[MedicationUse2-v3.0(2024EN)|MedicationUse2-v3.0]]
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2024|9.12}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|GebruiksInstructie}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.part.InstructionsForUse-v3.0(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.part.InstructionsForUse-v3.0(2024EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Prerelease 2024-1 <BR>
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)</li>
<li>LOINC version 2.77</li>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 25/04/2024 12:19:02 with ZibExtraction v. 9.3.8880.19756<!--ftDate--> <BR>
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>