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General information

Name: nl.zorg.AdministrationAgreement NL.png
Version: 1.1
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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DCM::CoderList Projectgroep Medicatieproces
DCM::ContactInformation.Name *
DCM::ContentAuthorList Projectgroep Medicatieproces
DCM::CreationDate 1-2-2017
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
DCM::KeywordList Medicatie, Toediening
DCM::LifecycleStatus Final
DCM::ModelerList Architectuurgroep Registratie aan de Bron
DCM::Name nl.zorg.Toedieningsafspraak
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate 28-07-2021
DCM::Supersedes nl.zorg.Toedieningsafspraak-v1.0.3
DCM::Version 1.1
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


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.


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
Block.png NL-CM:9.8.20132 Arrowdown.pngAdministrationAgreement Root concept of the AdministrationAgreement information model. This root concept contains all data elements of the AdministrationAgreement information model.
422037009 Provider medication administration instructions
Verwijzing.png NL-CM:9.8.22097 Arrowright.pngSupplier::HealthcareProvider 0..1 The supplier (pharmacist) that entered the administration agreement.
Block.png HealthcareProvider
Verwijzing.png NL-CM:9.8.20237 Arrowright.pngMedicineForAdministrationAgreement::PharmaceuticalProduct 1 Medicine in the AdministrationAgreement.
Block.png PharmaceuticalProduct
Verwijzing.png NL-CM:9.8.22098 Arrowright.pngInstructionsForUse 0..1 Instructions for administering the medication, e.g. dose and route of administration.
Block.png InstructionsForUse
TS.png NL-CM:9.8.20133 Arrowright.pngAdministrationAgreementDateTime 0..1 The time at which the agreement was made.
ST.png NL-CM:9.8.22499 Arrowright.pngAgreementReason 0..1 Reason for this agreement. This will often be the same reason as the one for the medication agreement.

This field has the option to - if applicable - enter a specific reason for the administration agreement. Examples include: substitution, transfer to GDS, patient request for different product, etc.

112231000146109 Reason for drug administration instructions
Verwijzing.png NL-CM:9.8.22660 Arrowright.pngPeriodOfUse 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 to', the submission of time is always mandatory for the end date.

With medication for an indefinite period only a start date is indicated.

Block.png TimeInterval
Verwijzing.png NL-CM:9.8.22394 Arrowright.pngMedicationAgreement 0..1 Relationship to the medication agreement on which the administration agreement is based.
Block.png MedicationAgreement
CD.png NL-CM:9.8.22498 Arrowright.pngAdministrationAgreementStopType 0..1 Stop type, the manner in which this medication is discontinued (temporary or definitive).
List2.png AdministrationAgreementStopTypeCodeList
BL.png NL-CM:9.8.23034 Arrowright.pngCanceledIndicator 0..1 In the event of an error correction, this indicator is to be put on for the incorrect agreement.
CD.png NL-CM:9.8.23284 Arrowright.pngAdministrationAgreementAdditionalInformation 0..* Additional information includes details on the structure of the agreement made.

This element mainly contains information that until now has been structured with ZZ rules. The medication-related topics that are now supported by the ZZ rules are best supported with a system functionality. A process has been started for this by Z-index/KNMP. For now, the following list will be used. This list will be replaced by a thesaurus in the G standard at a later stage.

List2.png AdministrationAgreementAdditionalInformationCodeList
ST.png NL-CM:9.8.22275 Arrowright.pngComment 0..1 Comments on the administration agreement.
48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

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
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



Valueset OID: 2.16.840.1.113883. Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geneesmiddel niet verstrekt 1 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Geneesmiddel niet verstrekt
Niet leverbaar 2 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Niet leverbaar
Medicatieafspraak gewijzigd: substantie 3 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Medicatieafspraak gewijzigd: substantie
Medicatieafspraak gewijzigd: dosering 4 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Medicatieafspraak gewijzigd: dosering
Medicatieafspraak gewijzigd: farmaceutische vorm 5 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Medicatieafspraak gewijzigd: farmaceutische vorm
Medicatieafspraak gewijzigd: verwisseling van persoon 6 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Medicatieafspraak gewijzigd: verwisseling van persoon
Machtiging aangevraagd 7 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Machtiging aangevraagd
Machtiging afgewezen 8 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Machtiging afgewezen
Machtiging in gebruik nemen 9 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Machtiging in gebruik nemen
Gebruiksinstructie gegeven 10 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Gebruiksinstructie gegeven
Controle inhalatietechniek 11 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Controle inhalatietechniek
Meter periodieke controle 12 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Meter periodieke controle
Pen controle/omruil 13 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Pen controle/omruil
Bijwerking besproken 14 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Bijwerking besproken
Afhandeling bijwerking niet-lareb 15 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Afhandeling bijwerking niet-lareb
Melding lareb 16 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Melding lareb
Medicatiebewaking OT 17 Aanvullende informatie toedieningsafspraak 2.16.840.1.113883. Medicatiebewaking OT


Valueset OID: 2.16.840.1.113883. 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.

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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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png


This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Pre-release 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 30/11/2021 09:46:33 with ZibExtraction v. 6.4.8004.1652

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