Brontekst bekijken van MedicationContraIndication-v2.0(2022EN)

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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.14(EN)|1|MedicationContraIndication-v2.0(2022EN)}}
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==General information<!--hdGeneralInformation-->==
Name<!--hdName-->: '''nl.zorg.MedicationContraIndication''' [[Bestand:NL.png|link=MedicatieContraIndicatie-v2.0(2022NL)]]<BR>
Version<!--hdVersion-->: '''2.0''' <br>
HCIM Status<!--hdStatus-->:Final<br>
Release<!--hdPublication-->: '''2022''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 10-06-2022
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{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2022(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2022(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

==Metadata==
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|style="width:250px; "|DCM::RevisionDate||06-05-2022
|- 
|style="width:250px; "|DCM::Supersedes||nl.zorg.MedicatieContraIndicatie-v1.1
|- 
|style="width:250px; "|DCM::Version||2.0
|- 
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

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

<u>Publicatieversie 1.0</u> (01-09-2020)

Publicatieversie <u>1.1</u> (01-12-2021)
{|
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1253 | ZIB-1253 ]]
|Voorbeelden in zib MedicatieContraIndicatie aanpassen
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1254 | ZIB-1254 ]]
|Paragraaf "Concept" aanpassen
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1268 | ZIB-1268 ]]
|Engelse omschrijving Melder::Zorgverlener niet correct
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1283 | ZIB-1283 ]]
|Haakje weghalen bij eerste bullet bij Instructie
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1401 | ZIB-1401 ]]
|Voorbeeld incorrect bij MedicatieContraIndicatie
|}

Publicatieversie <u>2.0</u> (10-06-2022)
{|
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1608 | ZIB-1608 ]]
|Naam data-element EindDatum wijzigen naar EindDatumTijd
|-
|style="width:75px; "|[[ZIBIssues500_3#ZIB-1765 | ZIB-1765 ]]
|Deprecated SNOMED codes
|}
</div>

==Concept==
A contraindication (CI) for medication safety is a condition or characteristic of a patient in which certain medicines may not be used, or only used under certain conditions.

==Purpose==
Contraindications should be taken into account with drug treatement. These are important for medication safety monitoring.

==Evidence Base==
A number of contraindications for medication safety are disorders that are also recorded as a problem (HCIM Problem) and/or as a warning (HCIM Alert) and not only as a medication contraindication .<BR>
In the Netherlands it is important to also capture these via the G standard (thesaurus 40) as a contra-indication. Contraindications are used for medication safety. Through its use in these applications, important warnings / signals are given to healthcare providers.

==Information Model==
<BR>
<imagemap> Bestand:MedicationContraIndication-v2.0Model(2022EN).png | center 
rect 330 387 530 437 [[#MedicationContraIndicationNameCodelist]]
rect 561 161 651 231 [[HealthProfessional-v3.5.2(2022EN)]]
rect 515 54 605 124 [[#14107]]
rect 384 43 474 113 [[#14110]]
rect 206 161 296 231 [[#14109]]
rect 260 54 350 124 [[#14111]]
rect 360 288 500 358 [[#14108]]
rect 364 162 494 232 [[#14105]]
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:9.14.1
|colspan ="6" style ="padding-left: 0px"|<span Id=14105 Title="NL: MedicatieContraIndicatie">[[Bestand: arrowdown.png | 10px | link=]]MedicationContraIndication</span>
|
|Root concept of the MedicationContraIndication information model.This root concept contains all data elements of the MedicationContraIndication information model.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Contra-indicatie met betrekking op medicatiebewaking (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=140401000146105 140401000146105] Medical contraindication related to medication</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:9.14.2
|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=14111 Title="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px | link=]]StartDateTime</span>
|0..1
|The date and possibly time when the contra-indication for medication was identified.
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Datum waarop contra-indicatie is vastgesteld (waarneembare entiteit)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=140821000146104 140821000146104] Date when contraindication was established</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||NL-CM:9.14.3
|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=14110 Title="NL: EindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]EndDateTime</span>
|0..1
|The date and, if applicable, time when the contraindication for medication monitoring is considered no longer applicable. 

|
{|
|-
|<span title = "Codesystem: SNOMED CT; Datum waarop contra-indicatie afgesloten is (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=140831000146102 140831000146102] Date when contraindication expired</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:9.14.4
|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=14107 Title="NL: RedenVanAfsluiten">[[Bestand: arrowright.png | 10px | link=]]ReasonClosure</span>
|0..1
| Reason for closing the medication contraindication. 
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Reden voor afsluiten van medische contra-indicatie (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=157151000146104 157151000146104] Reason for expiration of medical contraindication</span>
|}
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||NL-CM:9.14.5
|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=14104 Title="NL: Melder::Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]Reporter::HealthProfessional</span>
|1
|The healthcare professional who takes responsibility for the registering the contraindication. 
|
|
{|
|-
|[[Bestand: block.png | link=HealthProfessional-v3.5.2(2022EN)]]||[[HealthProfessional-v3.5.2(2022EN) |HealthProfessional]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||NL-CM:9.14.6
|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=14108 Title="NL: MedicatieContraIndicatieNaam">[[Bestand: arrowright.png | 10px | link=]]MedicationContraIndicationName</span>
|1
|The name and code of the contraindication from the Dutch National Contra-indication list (G-standard Thesaurus 40).
|
{|
|-
|<span title = "Codesystem: SNOMED CT; Risico op negatieve respons op medicatie (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=129850005 129850005] At risk for negative response to medication</span>
|}
|
{|
|-
|[[Bestand: List2.png | link=#MedicationContraIndicationNameCodelist]]||[[#MedicationContraIndicationNameCodelist|MedicationContraIndicationNameCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: ST.png| 16px | link=]]
||NL-CM:9.14.7
|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=14109 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|Comment on the contraindication important for interpretation which cannot be captured in any of the other data items. For example, a comment on a contraindication with an end date in the future. 

|
{|
|-
|<span title = "Codesystem: LOINC (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="1148px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|colspan="8" style="background-color: #1F497D; width: 100%; "|<font color=#FFFFFF><b>MedicatieContraIndicatie</b></font>
|-style=vertical-align:top;
| style="background-color: #548DD4; width: 15%; "|<font color=#FFFFFF><b>Contra Indicatie</b></font>
| style="background-color: #548DD4; width: 10%; "|<font color=#FFFFFF><b>BeginDatum</b></font>
| style="background-color: #548DD4; width: 9%; "|<font color=#FFFFFF><b>EindDatum</b></font>
| style="background-color: #548DD4; width: 17%; "|<font color=#FFFFFF><b>Reden van Afsluiten</b></font>
| style="background-color: #548DD4; width: 14%; "|<font color=#FFFFFF><b>Toelichting</b></font>
|colspan="3" style="background-color: #548DD4; width: 36%; "|<font color=#FFFFFF><b>Zorgverlener::Melder</b></font>
|-style=vertical-align:top;
| style="background-color: #D5DCE4; width: 15%; "|
| style="background-color: #D5DCE4; width: 10%; "|
| style="background-color: #D5DCE4; width: 9%; "|
| style="background-color: #D5DCE4; width: 17%; "|
| style="background-color: #D5DCE4; width: 14%; "|
| style="background-color: #D5DCE4; width: 11%; "|<b>Naam</b>
| style="background-color: #D5DCE4; width: 10%; "|<b>Specialisme</b>
| style="background-color: #D5DCE4; width: 15%; "|<b>Zorgaanbieder</b>
|-style=vertical-align:top;
| style="width: 15%; "|(1320) <BR>Zwangerschap
| style="width: 10%; "|08-06-2020
| style="background-color: #FFFFFF; width: 9%; "|08-03-2021
| style="background-color: #FFFFFF; width: 17%; "|
| style="background-color: #FFFFFF; width: 14%; "|
| style="background-color: #FFFFFF; width: 11%; "|D. Bakker
| style="background-color: #FFFFFF; width: 10%; "|Huisarts
| style="background-color: #FFFFFF; width: 15%; "|Huisartsenpraktijk Bakker
|-style=vertical-align:top;
| style="width: 15%; "|(0210) <BR>Sportbeoefening
| style="width: 10%; "|01-08-2015
| style="background-color: #FFFFFF; width: 9%; "|
| style="background-color: #FFFFFF; width: 17%; "|
| style="background-color: #FFFFFF; width: 14%; "|Handboogschieten
| style="background-color: #FFFFFF; width: 11%; "|K. Vriendwijk
| style="background-color: #FFFFFF; width: 10%; "|Huisarts
| style="background-color: #FFFFFF; width: 15%; "|Huisartsenpraktijk ‘t Zonnetje
|-style=vertical-align:top;
| style="width: 15%; "|(113) <BR>Morbide obesitas
| style="width: 10%; "|31-12-2016
| style="background-color: #FFFFFF; width: 9%; "|21-09-2019
| style="background-color: #FFFFFF; width: 17%; "|Heeft gewicht verloren
| style="background-color: #FFFFFF; width: 14%; "|
| style="background-color: #FFFFFF; width: 11%; "|T. de Groot
| style="background-color: #FFFFFF; width: 10%; "|Huisarts
| style="background-color: #FFFFFF; width: 15%; "|Zorginstelling De beste zorg
|-style=vertical-align:top;
| style="width: 15%; "|(1355) <BR>Bariatrische chirurgie
| style="width: 10%; "|10-04-2019
| style="background-color: #FFFFFF; width: 9%; "|
| style="background-color: #FFFFFF; width: 17%; "|
| style="background-color: #FFFFFF; width: 14%; "|
| style="background-color: #FFFFFF; width: 11%; "|L. de Jong
| style="background-color: #FFFFFF; width: 10%; "|Chirurg
| style="background-color: #FFFFFF; width: 15%; "|Ziekenhuis Kwaliteit en Veiligheid
|}

==Instructions==
In the G-standard Thesaurus 40, Z-Index uses 2 terms.<BR>
<ol>
		<li>The contraindication nature: the list of items referred to from MedicationContraIndicationName and<BR>
		<li>the contraindication: the combination of recorded contraindication nature + the medicine (the contraindication codes from file 655). </li></ol>This last combination between contraindication nature and medication is made via this MedicationContraIndication HCIM and one or more of the other medication HCIMs. For example in a medication process use-case ePrescription and/or dispense of medication.

==References==
1. Medicatiebewaking [online] beschikbaar op https://www.z-index.nl/documentatie  [Geraadpleegd: 19 juni 2020]

== Valuesets ==
=== MedicationContraIndicationNameCodelist===
{| class="wikitable" width="60%" 
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.14.1
|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; "
|alle waarden
|G-standaard Contra Indicaties (Thesaurus 40)
|2.16.840.1.113883.2.4.4.1.902.40
|}

==This information model in other releases<!--ftOtherReleases-->==
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{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.14(EN)|2|2022}}
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==Information model references<!--ftReferences-->==
====This information model refers to<!--ftRefersTo-->====
*[[HealthProfessional-v3.5.2(2022EN)|HealthProfessional-v3.5.2]]
====This information model is used in<!--ftReferredBy-->====
:--
==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.<BR>
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|9.14}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022}}</li>
</ul>
==Downloads<!--ftDownloadTitle-->==
This information model is also available as [[Media:nl.zorg.MedicationContraIndication-v2.0(2022EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MedicationContraIndication-v2.0(2022EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
==About this information<!--ftHeader2-->==
The information in this wikipage is based on<!--ftInfoBase--> Pre-release 2022-1 <BR>
SNOMED CT and LOINC codes are based on:
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>LOINC version 2.67</li>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 10/06/2022 12:42:11 with ZibExtraction v. 8.0.8196.20371<!--ftDate--> <BR>
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