AdministrationAgreement-v2.1(2023EN)

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.AdministrationAgreement
Version: 2.1
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

Attention!! For this HCIM an erratum exists. You can find it in the Errata section of the release.

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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	15-10-2023
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate	17-07-2023
DCM::Supersedes	nl.zorg.Toedieningsafspraak-v2.0
DCM::Version	2.1
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

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

Publicatieversie 2.1 (15-10-2023)

ZIB-1771	Wijziging conceptnaam binnen zib Toedieningsafspraak
ZIB-1940	RedenWijzigen-StakenCodelijst - SNOMED-term bij 159691000146109

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.	422037009 Provider medication administration instructions
	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	160121000146101 Reason for change of drug administration instructions	AdministrationAgreementReasonModificationOrDiscontinuationCodelist
	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.		HealthcareProvider
	NL-CM:9.8.20237		MedicineForAdministrationAgreement::PharmaceuticalProduct					1	Medicine in the AdministrationAgreement.		PharmaceuticalProduct
	NL-CM:9.8.22098		InstructionsForUse					0..1	Instructions for administering the medication, e.g. dose and route of administration.		InstructionsForUse
	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. With medication for an indefinite period only a start date is indicated.		TimeInterval
	NL-CM:9.8.22394		MedicationAgreement					0..1	Relationship to the medication agreement on which the administration agreement is based.		MedicationAgreement
	NL-CM:9.8.22498		AdministrationAgreementStopType					0..1	Stop type, the manner in which this medication is discontinued (temporary or definitive).		AdministrationAgreementStopTypeCodeList
	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.	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

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 van medicatie
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 2022-1, (Version 2.0)
• Prerelease 2024-1, (Version 3.0)

Information model references

This information model refers to

• HealthcareProvider-v3.6
• InstructionsForUse-v2.0.1
• MedicationAgreement-v2.1
• PharmaceuticalProduct-v2.2.1
• TimeInterval-v1.2

This information model is used in

• MedicationAdministration2-v2.0.1

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 Prerelease 2023-1
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
• LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 31/10/2023 18:37:09 with ZibExtraction v. 9.3.8704.31782

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