Brontekst bekijken van MedicationAdministration2-v3.0(2024EN)

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.13(EN)|1|MedicationAdministration2-v3.0(2024EN)}}
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==General information<!--hdGeneralInformation-->==
Name<!--hdName-->: '''nl.zorg.MedicationAdministration2''' [[Bestand:NL.png|link=MedicatieToediening2-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||1-2-2017
|- 
|style="width:250px; "|DCM::DeprecatedDate||
|- 
|style="width:250px; "|DCM::DescriptionLanguage||nl
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|- 
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|- 
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.9.13
|- 
|style="width:250px; "|DCM::KeywordList||Medicatie, Toediening
|- 
|style="width:250px; "|DCM::LifecycleStatus||Final
|- 
|style="width:250px; "|DCM::ModelerList||Architectuurgroep Registratie aan de Bron
|- 
|style="width:250px; "|DCM::Name||nl.zorg.MedicatieToediening2
|- 
|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||20-03-2024
|- 
|style="width:250px; "|DCM::Supersedes||nl.zorg.MedicatieToediening2-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 1.0.1</u> (31-12-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-618 | ZIB-618 ]]
|Hernoemen Verstrekking naar Medicatieverstrekking
|}

<u>Publicatieversie 1.1</u> (31-01-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-812 | ZIB-812 ]]
|Cardinaliteit ToegediendeHoeveelheid wellicht te streng
|}

Publicatieversie <u>1.1.1</u> (01-09-2020)
{|
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-911 | ZIB-911 ]]
|Correction English &quot;Farmaceutical&quot;
|}

Publicatieversie <u>2.0</u> (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1724 | ZIB-1724 ]]
|Verzameling errata bouwsteen Medicatietoediening
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1740 | ZIB-1740 ]]
|Element DubbelControleUitgevoerd verwijderd uit bouwsteen Medicatietoediening
|}

Publicatieversie <u>2.0.1</u> (15-10-2023)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1896 | ZIB-1896 ]]
|Replace provider by professional
|-
|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_1#ZIB-815 | ZIB-815 ]]
|Toedieningssnelheid is geen &#39;bereik&#39;
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2154 | ZIB-2154 ]]
|Waardenlijst prik en plaklocatie
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2206 | ZIB-2206 ]]
|Medicatietoediening Status
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2207 | ZIB-2207 ]]
|Medicatietoediening volgensAfspraak verwijderen
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2208 | ZIB-2208 ]]
|Medicatietoediening gerelateerdeAfspraak kardinaliteiten
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2209 | ZIB-2209 ]]
|Waardenlijst redenVanAfwijken uitbreiden met &#39;foutieve registratie&#39;
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2132 | ZIB-2132 ]]
|2023-1 Verwijzingen naar FarmaceutischProduct gebruiken verkeerde NL-CM id
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2134 | ZIB-2134 ]]
|2023-1 Verwijzing naar Medicatieafspraak gebruikt verkeerde NL-CM id
|-
|style="width:75px; "|[[ZIBIssues500_4#ZIB-2135 | ZIB-2135 ]]
|2023-1 Verwijzing naar Toedieningsafspraak gebruikt verkeerde NL-CM id
|}
</div>

==Concept==
Medication administration is the registration of the individual administrations of the medicine on the patient by the administrator (e.g. a nurse or patient themselves), in relation to the entered agreements. Only actually administered medication can be described with this HCIM.

==Purpose==
The goal of administering the medication is to provide insight into the actual administered products.

==Information Model==
<BR>
<imagemap> Bestand:MedicationAdministration2-v3.0Model(2024EN).png | center 
rect 640 200 751 270 [[#1645]]
rect 844 284 971 333 [[ContactPerson-v4.1(2024EN)]]
rect 844 155 971 204 [[Patient-v4.3(2024EN)]]
rect 421 200 532 270 [[#1655]]
rect 844 220 971 269 [[HealthProfessional-v4.0(2024EN)]]
rect 608 379 751 449 [[#1635]]
rect 369 519 469 589 [[#1649]]
rect 35 379 178 449 [[#1638]]
rect 35 519 238 589 [[#1647]]
rect 239 200 350 270 [[PharmaceuticalProduct-v2.2.1(2024EN)]]
rect 36 200 179 270 [[#1643]]
rect 360 379 469 449 [[#1637]]
rect 350 638 603 688 [[#MedicationAdministrationRouteOfAdministration]]
rect 36 638 328 688 [[#MedicationAdministrationReasonForDeviationCodeLis]]
rect 537 518 627 588 [[AnatomicalLocation-v1.0.3(2024EN)]]
rect 643 638 766 688 [[#InjectPatchLocationCodelist]]
rect 660 518 750 588 [[#4497]]
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:9.13.20928
|colspan ="6" style ="padding-left: 0px"|<span Id=1637 Title="NL: Medicatietoediening">[[Bestand: arrowdown.png | 10px | link=]]MedicationAdministration</span>
|
|Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Medicatietoediening (procedure)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=18629005 18629005] Administration of medication</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.13.20929
|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=1644 Title="NL: ToedieningsProduct::FarmaceutischProduct">[[Bestand: arrowright.png | 10px | link=]]AdministrationProduct::PharmaceuticalProduct</span>
|1
|The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well.  

In principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet.
|
|
{|
|-
|[[Bestand: block.png | link=PharmaceuticalProduct-v2.2.1(2024EN)]]||[[PharmaceuticalProduct-v2.2.1(2024EN) |PharmaceuticalProduct]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.13.23159
|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=1655 Title="NL: Toedieningssnelheid">[[Bestand: arrowright.png | 10px | link=]]AdministeringSpeed</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;
	&lt;li&gt;dose unit = ml&lt;/li&gt;
&lt;/ul&gt;
&lt;ul&gt;
	&lt;li&gt;time unit = hour&lt;/li&gt;
&lt;/ul&gt;
Optionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed.

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:9.13.21193
|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=1643 Title="NL: ToedieningsDatumTijd">[[Bestand: arrowright.png | 10px | link=]]AdministrationDateTime</span>
|1
|The date and time at which the medication was administered.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]]
||NL-CM:9.13.21194 
|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=1638 Title="NL: ToegediendeHoeveelheid">[[Bestand: arrowright.png | 10px | link=]]AdministeredAmount</span>
|0..1
|Amount of the administered product.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.13.21195
|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=1649 Title="NL: Toedieningsweg">[[Bestand: arrowright.png | 10px | link=]]RouteOfAdministration</span>
|1
|The route through which the medication is administered (oral, nasal, intravenous,...).
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Toedieningsweg (attribute)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=410675002 410675002] Route of administration</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#MedicationAdministrationRouteOfAdministration]]||[[#MedicationAdministrationRouteOfAdministration|MedicationAdministrationRouteOfAdministration]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.13.23381
|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=4495 Title="NL: Toedienlocatie::AnatomischeLocatie">[[Bestand: arrowright.png | 10px | link=]]AdministrationLocation::AnatomicalLocation</span>
|0..1
|Location on or in the body where the medication was administered. Usually used to indicate the location at which a patient was administered an injection or patch was applied. The value list PrikPlakLocationCodelijst list can serve as a starting point for coding these concepts. If both the anatomical location and administration route are filled, they should be aligned.
|
|
{|
|-
|[[Bestand: block.png | link=AnatomicalLocation-v1.0.3(2024EN)]]||[[AnatomicalLocation-v1.0.3(2024EN) |AnatomicalLocation]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:20.7.4
|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=4497 Title="NL: Locatie">[[Bestand: arrowright.png | 10px | link=]]Location</span>
|
|Location from AnatomicalLocation.
|
|
{|
|-
|[[Bestand: List2.png | link=#InjectPatchLocationCodelist]]||[[#InjectPatchLocationCodelist|InjectPatchLocationCodelist]]
|}
|-style="vertical-align:top; background-color: #E8D7BE; "
|style = "text-align:center" |[[Bestand: folder.png| 16px | link=]]
||NL-CM:9.13.21196
|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=1645 Title="NL: Toediener">[[Bestand: arrowdown.png | 10px | link=]]Administrator</span>
|0..1
|Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product. This is a professional authorised administrator, the patient themselves or the caregiver, for example.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.13.23380
|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=1639 Title="NL: Pati&#235;nt">[[Bestand: arrowright.png | 10px | link=]]Patient</span>
|(0..1)
|If the patient administered the medication themselves, indicate that here. If the medication is administered by a health professional or caregiver/family member/etc., the health professional is entered in the &#39;HealthProfessional&#39; element or the caregiver/family member/etc. is entered in the &#39;Contact&#39; element respectively.
|
|
{|
|-
|[[Bestand: block.png | link=Patient-v4.3(2024EN)]]||[[Patient-v4.3(2024EN) |Patient]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.13.23172
|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=1646 Title="NL: Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]HealthProfessional</span>
|(0..1)
|The concept describes the person who administered the product. This is a professional authorised administrator.
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v4.0(2024EN)]]||[[HealthProfessional-v4.0(2024EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.13.23355
|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=1641 Title="NL: Mantelzorger::Contactpersoon">[[Bestand: arrowright.png | 10px | link=]]Caregiver::Contact</span>
|(0..1)
|Information on the patient’s personal relative or contact that administered the medication.
|
|
{|
|-
|[[Bestand: block.png | link=ContactPerson-v4.1(2024EN)]]||[[ContactPerson-v4.1(2024EN) |ContactPerson]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.13.23166
|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=1647 Title="NL: MedicatietoedieningRedenVanAfwijken">[[Bestand: arrowright.png | 10px | link=]]MedicationAdministrationReasonForDeviation</span>
|0..1
|Reason why the medication was not taken or administered or was taken or administered differently. Here, you can choose to enter text or one of the codes.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Reden voor afwijken in toedienen van medicatie (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=153631000146105 153631000146105] Reason for deviation in administration of drug or medicament</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#MedicationAdministrationReasonForDeviationCodeLis]]||[[#MedicationAdministrationReasonForDeviationCodeLis|MedicationAdministrationReasonForDeviationCodeLis]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:9.13.21337
|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=1635 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|Comments on administering the medication.
|
{|
|-
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (tekstueel) (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|
|}
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="1270px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>MedicatieToedieningDatumTijd</b></font>
| style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>Toedieningsproduct</b></font>
| style="background-color: #1F497D; width: 8%; "|<font color=#FFFFFF><b>AfwijkendeToediening</b></font>
| style="background-color: #1F497D; width: 12%; "|<font color=#FFFFFF><b>MedicatieToedieningStatus</b></font>
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>Toedieningsweg</b></font>
| style="background-color: #1F497D; width: 10%; "|<font color=#FFFFFF><b>Toegediende Hoeveelheid</b></font>
| style="background-color: #1F497D; width: 9%; "|<font color=#FFFFFF><b>AfgesprokenDatumTijd</b></font>
| style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>MedicatieToedieningRedenVanAfwijken</b></font>
| style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>MedicatieAfspraak</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 13%; "|
| style="background-color: #548DD4; width: 13%; "|<font color=#FFFFFF><b>ProductCode</b></font>
| style="background-color: #548DD4; width: 8%; "|
| style="background-color: #548DD4; width: 12%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 10%; "|
| style="background-color: #548DD4; width: 9%; "|
| style="background-color: #548DD4; width: 13%; "|
| style="background-color: #548DD4; width: 13%; "|<font color=#FFFFFF><b>GebruiksInstructie</b></font>
|-style=vertical-align:top;
| style="background-color: #D9D9D9; width: 13%; "|
| style="background-color: #D9D9D9; width: 13%; "|
| style="background-color: #D9D9D9; width: 8%; "|
| style="background-color: #D9D9D9; width: 12%; "|
| style="background-color: #D9D9D9; width: 9%; "|
| style="background-color: #D9D9D9; width: 10%; "|
| style="background-color: #D9D9D9; width: 9%; "|
| style="background-color: #D9D9D9; width: 13%; "|
| style="background-color: #D9D9D9; width: 13%; "|<b>Doseerinstructie<noWiki>|</noWiki>Dosering<noWiki>|</noWiki>Keerdosis</b>
|-style=vertical-align:top;
| style="width: 13%; "|3-6-2014 16:19:07<BR>
| style="width: 13%; "|Pantoprazol mylan tablet msr 20mg
| style="width: 8%; "|Nee
| style="width: 12%; "|Gereed
| style="width: 9%; "|Oraal
| style="width: 10%; "|1 stuk
| style="width: 9%; "|
| style="width: 13%; "|
| style="width: 13%; "|
|-style=vertical-align:top;
| style="width: 13%; "|
| style="width: 13%; "|Bumetanide pch tablet 2 mg
| style="width: 8%; "|Ja
| style="width: 12%; "|Afgebroken
| style="width: 9%; "|Oraal
| style="width: 10%; "|1 stuk
| style="width: 9%; "|
| style="width: 13%; "|Patiënt heeft geweigerd<BR>
| style="width: 13%; "|2 stuks
|-style=vertical-align:top;
| style="width: 13%; "|19-9-2014 14:12:11
| style="width: 13%; "|Novorapid Flexpen Injvlst 100e/Ml Pen 3ml
| style="width: 8%; "|Ja
| style="width: 12%; "|Uitgesteld
| style="width: 9%; "|Subcutaan
| style="width: 10%; "|22 eenheden
| style="width: 9%; "|19-9-2014 9:00:00<BR>
| style="width: 13%; "|Vergeten toe te dienen
| style="width: 13%; "|22 elementen
|}

== Valuesets ==
=== InjectPatchLocationCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.13.4
|Binding<!--vsBindingTag-->: Extensible
|}
{| 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 = "Structuur van bovenste gedeelte van lumbale regio van wand van abdomen (body structure)">Structure of upper part of lumbar region of abdominal wall</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160531000146108 160531000146108]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van bovenste gedeelte van lumbale regio van wand van abdomen
|-style="vertical-align:top; "
|<span title = "Structuur van onderste gedeelte van lumbale regio van wand van abdomen (body structure)">Structure of lower part of lumbar region of abdominal wall</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160481000146106 160481000146106]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van onderste gedeelte van lumbale regio van wand van abdomen
|-style="vertical-align:top; "
|<span title = "Structuur van rechter gedeelte van supra-umbilicale regio (body structure)">Structure of right part of supraumbilical region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160501000146103 160501000146103]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van rechter gedeelte van supra-umbilicale regio
|-style="vertical-align:top; "
|<span title = "Structuur van linker gedeelte van infra-umbilicale regio (body structure)">Structure of left part of infra-umbilical region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160441000146104 160441000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van linker gedeelte van infra-umbilicale regio
|-style="vertical-align:top; "
|<span title = "Structuur van linker gedeelte van supra-umbilicale regio (body structure)">Structure of left part of supraumbilical region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160451000146101 160451000146101]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van linker gedeelte van supra-umbilicale regio
|-style="vertical-align:top; "
|<span title = "Structuur van rechter gedeelte van infra-umbilicale regio (body structure)">Structure of right part of infra-umbilical region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160491000146108 160491000146108]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van rechter gedeelte van infra-umbilicale regio
|-style="vertical-align:top; "
|<span title = "Structuur van weke delen van laterale bovenkwadrant van anterieur oppervlak van bovenbeen (body structure)">Structure of soft tissue of upper outer quadrant of anterior surface of thigh</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160521000146106 160521000146106]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van weke delen van laterale bovenkwadrant van anterieur oppervlak van bovenbeen
|-style="vertical-align:top; "
|<span title = "Structuur van weke delen van mediale bovenkwadrant van anterieur oppervlak van bovenbeen (body structure)">Structure of soft tissue of upper inner quadrant of anterior surface of thigh</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160511000146101 160511000146101]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van weke delen van mediale bovenkwadrant van anterieur oppervlak van bovenbeen
|-style="vertical-align:top; "
|<span title = "Structuur van weke delen van laterale onderkwadrant van anterieur oppervlak van bovenbeen (body structure)">Structure of soft tissue of lower outer quadrant of anterior surface of thigh</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160471000146109 160471000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van weke delen van laterale onderkwadrant van anterieur oppervlak van bovenbeen
|-style="vertical-align:top; "
|<span title = "Structuur van weke delen van mediale onderkwadrant van anterieur oppervlak van bovenbeen (body structure)">Structure of soft tissue of lower inner quadrant of anterior surface of thigh</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160461000146103 160461000146103]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van weke delen van mediale onderkwadrant van anterieur oppervlak van bovenbeen
|-style="vertical-align:top; "
|<span title = "Structuur van laterale bovenkwadrant van regio glutealis (body structure)">Structure of upper outer quadrant of buttock</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=703712000 703712000]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van laterale bovenkwadrant van regio glutealis
|-style="vertical-align:top; "
|<span title = "Structuur van mediale bovenkwadrant van regio glutealis (body structure)">Structure of upper inner quadrant of buttock</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160541000146100 160541000146100]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van mediale bovenkwadrant van regio glutealis
|-style="vertical-align:top; "
|<span title = "Structuur van laterale onderkwadrant van regio glutealis (body structure)">Structure of lower outer quadrant of buttock</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160431000146107 160431000146107]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van laterale onderkwadrant van regio glutealis
|-style="vertical-align:top; "
|<span title = "Structuur van mediale onderkwadrant van regio glutealis (body structure)">Structure of lower inner quadrant of buttock</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160421000146105 160421000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van mediale onderkwadrant van regio glutealis
|-style="vertical-align:top; "
|<span title = "Structuur van huid van regio clavicularis (body structure)">Skin structure of clavicular region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=91009005 91009005]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van regio clavicularis
|-style="vertical-align:top; "
|<span title = "Structuur van huid van linker gedeelte van achterzijde van bovenste gedeelte van thoracale regio (body structure)">Skin structure of left part of back of upper thoracic region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160371000146104 160371000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van linker gedeelte van achterzijde van bovenste gedeelte van thoracale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van rechter gedeelte van achterzijde van bovenste gedeelte van thoracale regio (body structure)">Skin structure left part of back of upper thoracic region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160391000146100 160391000146100]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van rechter gedeelte van achterzijde van bovenste gedeelte van thoracale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van linker gedeelte van achterzijde van onderste gedeelte van thoracale regio (body structure)">Skin structure of left part of back of lower thoracic region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160361000146105 160361000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van linker gedeelte van achterzijde van onderste gedeelte van thoracale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van rechter gedeelte van achterzijde van onderste gedeelte van thoracale regio (body structure)">Skin structure of right part of back of lower thoracic region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160381000146102 160381000146102]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van rechter gedeelte van achterzijde van onderste gedeelte van thoracale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van linker gedeelte van lumbosacrale regio (body structure)">Skin structure of left part of lumbosacral region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160401000146102 160401000146102]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van linker gedeelte van lumbosacrale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van rechter gedeelte van lumbosacrale regio (body structure)">Skin structure of right part of lumbosacral region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160411000146100 160411000146100]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van rechter gedeelte van lumbosacrale regio
|-style="vertical-align:top; "
|<span title = "Structuur van huid van anterieur oppervlak van bovenarm (body structure)">Skin structure of anterior surface of upper arm</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=45981001 45981001]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van anterieur oppervlak van bovenarm
|-style="vertical-align:top; "
|<span title = "Structuur van posterieur oppervlak van bovenarm (body structure)">Structure of posterior surface of upper arm</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=15703000 15703000]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van posterieur oppervlak van bovenarm
|-style="vertical-align:top; "
|<span title = "Structuur van musculus deltoideus (body structure)">Structure of deltoid muscle</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=35259002 35259002]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van musculus deltoideus
|-style="vertical-align:top; "
|<span title = "Structuur van huid van rechter bovenkwadrant van voorzijde van thorax (body structure)">Skin structure of right upper quadrant of anterior surface of thorax</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160561000146104 160561000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van rechter bovenkwadrant van voorzijde van thorax
|-style="vertical-align:top; "
|<span title = "Structuur van huid van linker bovenkwadrant van voorzijde van thorax (body structure)">Skin structure of left upper quadrant of anterior surface of thorax</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160551000146102 160551000146102]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van linker bovenkwadrant van voorzijde van thorax
|-style="vertical-align:top; "
|<span title = "Structuur van huid van rechter onderkwadrant van voorzijde van thorax (body structure)">Skin structure of right lower quadrant of anterior surface of thorax</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160581000146107 160581000146107]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van rechter onderkwadrant van voorzijde van thorax
|-style="vertical-align:top; "
|<span title = "Structuur van huid van linker onderkwadrant van voorzijde van thorax (body structure)">Skin structure of left lower quadrant of anterior surface of thorax</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160571000146105 160571000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van linker onderkwadrant van voorzijde van thorax
|-style="vertical-align:top; "
|<span title = "Structuur van huid van regio scapularis (body structure)">Skin structure of scapular region of back</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=45980000 45980000]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van regio scapularis
|-style="vertical-align:top; "
|<span title = "Structuur van huid van postauriculaire regio (body structure)">Skin structure of postauricular region</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=24483006 24483006]
|SNOMED CT
|2.16.840.1.113883.6.96
|structuur van huid van postauriculaire regio
|}
=== MedicationAdministrationReasonForDeviationCodeLis===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.13.3
|Binding<!--vsBindingTag-->: Extensible
|}
{| 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; "
|Product discontinued
|DISCONT
|ActReason
|2.16.840.1.113883.5.8
|Product niet meer leverbaar [DEPRECATED]
|-style="vertical-align:top; "
|Patient not available
|NON-AVAIL
|ActReason
|2.16.840.1.113883.5.8
|Pati&#235;nt niet beschikbaar [DEPRECATED]
|-style="vertical-align:top; "
|Patient refuse
|PREFUS
|ActReason
|2.16.840.1.113883.5.8
|Pati&#235;nt heeft geweigerd [DEPRECATED]
|-style="vertical-align:top; "
|Unable to use
|UNABLE
|ActReason
|2.16.840.1.113883.5.8
|Toediening volgens voorschrift niet mogelijk [DEPRECATED]
|-style="vertical-align:top; "
|Order aborted
|FOABORT
|ActReason
|2.16.840.1.113883.5.8
|Medicatieafspraak is gestopt [DEPRECATED]
|-style="vertical-align:top; "
|<span title = "Vergeten toe te dienen">Forgotten to administer</span>
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten FORGOT]
|NL-CM-CS
|2.16.840.1.113883.2.4.3.11.60.40.4
|Vergeten toe te dienen [DEPRECATED]
|-style="vertical-align:top; "
|<span title = "Toediener niet beschikbaar">Administration performer not available</span>
|[https://zibs.nl/wiki/Zib_Codestelsels#Codestelsels_voor_waardelijsten APNA]
|NL-CM-CS
|2.16.840.1.113883.2.4.3.11.60.40.4
|Toediener niet aanwezig [DEPRECATED]
|-style="vertical-align:top; "
|<span title = "Onvoldoende medicatie op voorraad (finding)">Deficit of medication supply</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=705046008 705046008]
|SNOMED CT
|2.16.840.1.113883.6.96
|Product niet meer leverbaar
|-style="vertical-align:top; "
|<span title = "Behandeling met geneesmiddel stopgezet (situation)">Medication discontinued</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=274512008 274512008]
|SNOMED CT
|2.16.840.1.113883.6.96
|Medicatieafspraak is gestopt
|-style="vertical-align:top; "
|<span title = "Medicatie uitgespuugd door pati&#235;nt (situation)">Medication spat out by patient</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=152741000146103 152741000146103]
|SNOMED CT
|2.16.840.1.113883.6.96
|Uiitgespuugd door pati&#235;nt
|-style="vertical-align:top; "
|<span title = "Zorgverlener niet beschikbaar om medicatie toe te dienen (finding)">Healthcare professional not available to administer medication</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=153221000146105 153221000146105]
|SNOMED CT
|2.16.840.1.113883.6.96
|Toediener niet aanwezig
|-style="vertical-align:top; "
|<span title = "Zorgverlener vergeten medicatie toe te dienen (finding)">Healthcare professional forgot to administer medication</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=153211000146100 153211000146100]
|SNOMED CT
|2.16.840.1.113883.6.96
|Vergeten toe te dienen
|-style="vertical-align:top; "
|<span title = "Niet in staat om medicatie te gebruiken (finding)">Unable to use medication</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=408366001 408366001]
|SNOMED CT
|2.16.840.1.113883.6.96
|Toediening volgens voorschrift niet mogelijk
|-style="vertical-align:top; "
|<span title = "Toediening van medicatie geweigerd (situation)">Medication declined</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=406149000 406149000]
|SNOMED CT
|2.16.840.1.113883.6.96
|Pati&#235;nt heeft geweigerd
|-style="vertical-align:top; "
|<span title = "Zorgafnemer niet beschikbaar om medicatie in ontvangst te nemen (finding)">Patient not available to receive medication</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=153241000146104 153241000146104]
|SNOMED CT
|2.16.840.1.113883.6.96
|Pati&#235;nt niet beschikbaar
|-style="vertical-align:top; "
|<span title = "Foutieve registratie van medicatie (finding)">Incorrect registration of medication</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=159691000146109 159691000146109]
|SNOMED CT
|2.16.840.1.113883.6.96
|Foutieve registratie van medicatie
|}
=== MedicationAdministrationRouteOfAdministration===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.13.2
|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; "
|All values
|G-Standaard Toedieningswegen
|2.16.840.1.113883.2.4.4.9
|}

==This information model in other releases<!--ftOtherReleases-->==
<!-- Hieronder wordt een transclude page aangeroepen -->
{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.13(EN)|2|2024}}
<!-- Tot hier de transclude page -->
==Information model references<!--ftReferences-->==
====This information model refers to<!--ftRefersTo-->====
*[[AnatomicalLocation-v1.0.3(2024EN)|AnatomicalLocation-v1.0.3]]
*[[ContactPerson-v4.1(2024EN)|ContactPerson-v4.1]]
*[[HealthProfessional-v4.0(2024EN)|HealthProfessional-v4.0]]
*[[Patient-v4.3(2024EN)|Patient-v4.3]]
*[[PharmaceuticalProduct-v2.2.1(2024EN)|PharmaceuticalProduct-v2.2.1]]
*[[Range-v1.0.1(2024EN)|Range-v1.0.1]]
====This information model is used in<!--ftReferredBy-->====
*[[FeedingTubeSystem-v3.5(2024EN)|FeedingTubeSystem-v3.5]]
*[[Infusion-v3.5(2024EN)|Infusion-v3.5]]
==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|9.13}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2024|MedicatieToediening2}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.MedicationAdministration2-v3.0(2024EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MedicationAdministration2-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 12:41:41 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>