AdministrationAgreement-v2.0(2022EN): verschil tussen versies
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Regel 179: | Regel 179: | ||
{| | {| | ||
|- | |- | ||
− | |<span title = "Codesystem: SNOMED CT | + | |<span title = "Codesystem: SNOMED CT; Reden voor wijzigen van toedieningsinstructies (observable entity)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160121000146101 160121000146101] Reason for change of drug administration instructions</span> |
|} | |} | ||
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Regel 303: | Regel 303: | ||
{| | {| | ||
|- | |- | ||
− | |<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span> | + | |<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span> |
|} | |} | ||
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Regel 535: | Regel 535: | ||
|Geneesmiddel niet voorradig | |Geneesmiddel niet voorradig | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
− | |<span title = " | + | |<span title = "Verandering in uitslag van laboratoriumonderzoek (finding)">Change in laboratory test finding</span> |
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160131000146104 160131000146104] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160131000146104 160131000146104] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 541: | Regel 541: | ||
|Verandering in labwaarde | |Verandering in labwaarde | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
− | |<span title = " | + | |<span title = "Patiëntvriendelijk-Nederlandse taalreferentieset op leesniveau B1 (foundation metadata concept)">Patient-friendly Dutch at B1 reading level language reference set</span> |
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160161000146108 160161000146108] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=160161000146108 160161000146108] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 547: | Regel 547: | ||
|Dubbele registratie van medicamenteuze behandeling | |Dubbele registratie van medicamenteuze behandeling | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
− | |<span title = " | + | |<span title = "Medicatiegebruik van patiënt volgens afspraak (finding)">Patient takes medication as prescribed</span> |
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112221000146107 112221000146107] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=112221000146107 112221000146107] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 611: | Regel 611: | ||
SNOMED CT and LOINC codes are based on: | SNOMED CT and LOINC codes are based on: | ||
<ul> | <ul> | ||
− | <li>SNOMED Clinical Terms | + | <li>SNOMED Clinical Terms versie: 20220930 [R] (september 2022-editie)</li> |
− | <li>LOINC version 2. | + | <li>LOINC version 2.72</li> |
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
− | This page is generated on 10 | + | This page is generated on 17/10/2022 23:16:31 with ZibExtraction v. 8.1.8325.41206<!--ftDate--> <BR> |
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Huidige versie van 17 okt 2022 om 22:29
Inhoud
General information
Name: nl.zorg.AdministrationAgreement
Version: 2.0
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022
Attention!! For this HCIM an erratum exists. You can find it in the Errata section of the prerelease.
Metadata
DCM::CoderList | Projectgroep Medicatieproces |
DCM::ContactInformation.Address | |
DCM::ContactInformation.Name | * |
DCM::ContactInformation.Telecom | |
DCM::ContentAuthorList | Projectgroep Medicatieproces |
DCM::CreationDate | 1-2-2017 |
DCM::DeprecatedDate | |
DCM::DescriptionLanguage | nl |
DCM::EndorsingAuthority.Address | |
DCM::EndorsingAuthority.Name | PM |
DCM::EndorsingAuthority.Telecom | |
DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.9.8 |
DCM::KeywordList | Medicatie, Toediening |
DCM::LifecycleStatus | Final |
DCM::ModelerList | Architectuurgroep Registratie aan de Bron |
DCM::Name | nl.zorg.Toedieningsafspraak |
DCM::PublicationDate | 10-06-2022 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron |
DCM::RevisionDate | 06-05-2022 |
DCM::Supersedes | nl.zorg.Toedieningsafspraak-v1.1 |
DCM::Version | 2.0 |
HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017)
Publicatieversie 1.0.1 (31-12-2017)
ZIB-643 | Kleine tekstuele verbeteringen |
Publicatieversie 1.0.2 (31-01-2020)
ZIB-888 | terminologie reden voor stoppen medicatie verbeteren en SNOMED coderingen zibs met meditatieproces gelijktrekken |
Publicatieversie 1.0.3 (01-09-2020)
ZIB-911 | Correction English "Farmaceutical" |
ZIB-1006 | Typo Toedieningsafspraak stop type: een 'g' teveel |
Publicatieversie 1.1 (01-12-2021)
ZIB-1261 | Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes |
ZIB-1454 | Onduidelijkheid codes bij StopType codelijsten |
ZIB-1457 | Verwijderen woord 'voorlopig' |
ZIB-1468 | AdministrationAgreement.supplier verkeerde vertaling |
Publicatieversie 2.0 (10-06-2022)
ZIB-1685 | Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met' |
ZIB-1690 | ToedieningsafspraakAanvullendeInformatieCodelijst heeft 'verkeerde' oid voor codesysteem |
ZIB-1695 | Omschrijving van veld 'verstrekker' aanpassen in TA en MVE |
ZIB-1722 | Verzameling errata bouwsteen Toedieningsafspraak |
Concept
An administration agreement is the use (or administering) instructions from the pharmacist to the patient (or their representative or administrator), whereby a medication agreement is structured at a concrete level.
Purpose
The goal of the administration agreement is to provide insight into the concrete instructions for administration/use of medication.
Information Model
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
NL-CM:9.8.20132 | AdministrationAgreement | Root concept of the AdministrationAgreement information model. This root concept contains all data elements of the AdministrationAgreement information model. |
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NL-CM:9.8.22499 | AdministrationAgreementReasonModificationOrDiscontinuation | 0..1 | Reason for modification or discontinuation of this agreement. This will often be the same reason as the one for modification or discontinuation of the medication agreement. This field has the option to - if applicable - enter a specific reason for modification or discontinuation of the administration agreement |
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NL-CM:9.8.23284 | AdministrationAgreementAdditionalInformation | 0..1 | Additional information includes details on the structure of the agreement made. | |||||||||||
NL-CM:9.8.22097 | Supplier::HealthcareProvider | 0..1 | The supplier (healthcare provider) that entered the administration agreement. |
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NL-CM:9.8.20237 | MedicineForAdministrationAgreement::PharmaceuticalProduct | 1 | Medicine in the AdministrationAgreement. |
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NL-CM:9.8.22098 | InstructionsForUse | 0..1 | Instructions for administering the medication, e.g. dose and route of administration. |
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NL-CM:9.8.20133 | AdministrationAgreementDateTime | 0..1 | The time at which the agreement was made. | |||||||||||
NL-CM:9.8.22660 | PeriodOfUse | 1 | Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original administration agreement. The end date indicates from when the medication is to be discontinued.
Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days.
End date: The time at which the period of use ends (or ended or will end). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up until and including', the submission of time is always mandatory for the end date. |
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NL-CM:9.8.22394 | MedicationAgreement | 0..1 | Relationship to the medication agreement on which the administration agreement is based. |
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NL-CM:9.8.22498 | AdministrationAgreementStopType | 0..1 | Stop type, the manner in which this medication is discontinued (temporary or definitive). |
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NL-CM:9.8.23034 | CanceledIndicator | 0..1 | In the event of an error correction, this indicator is to be put on for the incorrect agreement. | |||||||||||
NL-CM:9.8.22275 | Comment | 0..1 | Comments on the administration agreement. |
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Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page
Example Instances
Only available in Dutch
ToedieningsAfspraakDatumTijd | Gebruiksperiode | GeneesmiddelBijToedieningsafspraak | Verstrekker | GeannuleerdIndicator | ToedieningsafspraakStoptype | ||
Ingangsdatum | Einddatum | Duur | ProductCode | Zorgaanbieder | |||
2-5-2012 12:14:09 | 02-05-12 | 4 weken | Paracetamol tablet 500 mg | Apotheek De Gulle Gaper | |||
10-9-2015 9:16:31 | 5 dagen | Pantoprazol injpdr 40 mg fl | Apotheek De Gulle Gaper | Ja | |||
19-9-2014 7:12:59 | 19-09-14 | 18-12-14 | Dalteparine 2500 injvlst 12.500 ie/ml wwsp 0,2ml | Poli-apotheek Het Ziekenhuis | |||
30-8-2013 8:41:43 | 01-08-13 | 30-08-13 | Prednison 5 mg | Poli-apotheek Het Ziekenhuis | Definitief |
Gebruiksinstructie | ||||||
Omschrijving | ToedieningsWeg | HerhaalperiodeCyclischSchema | Doseerinstructie | |||
Doseerduur | Dosering|Keerdosis | Toedieningsschema|Frequentie|Interval|Toedientijd|Weekdag|Dagdeel | Zo nodig | |||
Vanaf 2 mei gedurende 4 weken zo nodig bij pijn 500 mg (=1 st), max. 4x per dag | oraal | 1 | 4 weken | 1 stuk | max. 4x/dag | Bij pijn |
Gedurende 5 dagen 1x/dag (8u) 40 mg (=1 st) | iv | 40 mg (=1 st) | 1x per dag om 8.00 uur | |||
Vanaf 19-9-2014 tot 18-12-2014 1x per dag om 18uur 2500ie(=0,2ml) | subcutaan | 2500 IE (=0,2 ml) | 1x per dag om 18.00 uur | |||
Van 1-8-2013 tot 30-8-2013 volgens afbouwschema. Per 30-8-2013 onderbreken. | oraal | 1 |
Valuesets
AdministrationAgreementReasonModificationOrDiscontinuationCodelist
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.3 | Binding: Extensible |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Adverse reaction to drug | 62014003 | SNOMED CT | 2.16.840.1.113883.6.96 | Ongewenste reactie op medicatie en/of drugs |
Administration of medication contraindicated | 438833006 | SNOMED CT | 2.16.840.1.113883.6.96 | Toedienen van medicatie gecontra-indiceerd |
Medication interaction | 79899007 | SNOMED CT | 2.16.840.1.113883.6.96 | Geneesmiddelinteractie |
Lack of drug action | 58848006 | SNOMED CT | 2.16.840.1.113883.6.96 | Gebrek aan geneesmiddeleffect |
Drug action too strong | 112251000146103 | SNOMED CT | 2.16.840.1.113883.6.96 | Te sterk effect van medicatie |
Insufficient route of drug administration | 112191000146101 | SNOMED CT | 2.16.840.1.113883.6.96 | Medicatietoedieningsweg voldoet niet |
Drug treatment not indicated | 183966005 | SNOMED CT | 2.16.840.1.113883.6.96 | Geen indicatie voor medicamenteuze behandeling |
Medication management changed | 112751000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Medicatiebeleid veranderd |
Patient requested modification of treatment | 159711000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Verzoek van zorgafnemer om behandeling te wijzigen |
Treatment previous prescriber continued | 112261000146100 | SNOMED CT | 2.16.840.1.113883.6.96 | Hervatten van beleid van vorige voorschrijver |
Admission to establishment | 305335007 | SNOMED CT | 2.16.840.1.113883.6.96 | Opname in instelling |
Planned procedure | 405613005 | SNOMED CT | 2.16.840.1.113883.6.96 | Verrichting gepland |
Incorrect registration of medication | 159691000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Foutieve registratie |
Drug not available - out of stock | 182856006 | SNOMED CT | 2.16.840.1.113883.6.96 | Geneesmiddel niet voorradig |
Change in laboratory test finding | 160131000146104 | SNOMED CT | 2.16.840.1.113883.6.96 | Verandering in labwaarde |
Patient-friendly Dutch at B1 reading level language reference set | 160161000146108 | SNOMED CT | 2.16.840.1.113883.6.96 | Dubbele registratie van medicamenteuze behandeling |
Patient takes medication as prescribed | 112221000146107 | SNOMED CT | 2.16.840.1.113883.6.96 | Medicatiegebruik van patiënt volgens afspraak |
Overig | OTH | NullFlavor | 2.16.840.1.113883.5.1008 | Overig |
AdministrationAgreementStopTypeCodeList
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.1 | Binding: Required |
Conceptname | Conceptcode | Codesystem name | Codesystem OID | Description |
Drug therapy temporarily stopped | 113381000146106 | SNOMED CT | 2.16.840.1.113883.6.96 | Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie). |
Drug therapy definitely stopped | 113371000146109 | SNOMED CT | 2.16.840.1.113883.6.96 | Het staken van een bestaande medicamenteuze behandeling. |
This information model in other releases
- Release 2017, (Version 1.0.1)
- Prerelease 2018-2, (Version 1.0.1)
- Prerelease 2019-2, (Version 1.0.2)
- Release 2020, (Version 1.0.3)
- Prerelease 2021-2, (Version 1.1)
- Prerelease 2023-1, (Version 2.1)
- Prerelease 2024-1, (Version 3.0)
Information model references
This information model refers to
- HealthcareProvider-v3.5
- InstructionsForUse-v2.0
- MedicationAgreement-v2.0
- PharmaceuticalProduct-v2.2
- TimeInterval-v1.1.1
This information model is used in
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
- HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment
- HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR
Downloads
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Pre-release 2022-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20220930 [R] (september 2022-editie)
- LOINC version 2.72
Conditions for use are located on the mainpage
This page is generated on 17/10/2022 23:16:31 with ZibExtraction v. 8.1.8325.41206