General information
Name: nl.zorg.AdministrationAgreement 
Version: 3.1
HCIM Status:Final
Release: 2026-1
Release status: Prepublished
Release date: 17-04-2026
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 |
17-04-2026
|
| DCM::PublicationStatus |
Prepublished
|
| DCM::ReviewerList |
Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
|
| DCM::RevisionDate |
09-04-2026
|
| DCM::Supersedes |
nl.zorg.Toedieningsafspraak-v3.0
|
| DCM::Version |
3.1
|
| 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
|
Publicatieversie 3.0 (15-04-2024)
| ZIB-1903
|
"Annuleren" van MA en TA bouwstenen
|
| ZIB-2162
|
Toedieningsafspraak AanvullendeInformatie
|
| ZIB-2202
|
Geen informatie
|
Publicatieversie 3.1 (17-04-2026)
| ZIB-2282
|
Omschrijving redenwijzigenstaken en stoptype uitbreiden
|
| ZIB-2798
|
MP9 - Medicamenteuzebehandeling (MBHid) in ZIBs
|
| ZIB-2804
|
MP9-TA-relatieTA
|
| ZIB-2856
|
omschrijvingen medicatie gerelateerde Zibs
|
| ZIB-2858
|
Aanpassing naam SNOMED code die in codelijsten zib zit
|
| ZIB-3140
|
Deprecated waardenlijst values medicatiebouwstenen verwijderen
|
Concept
An administration agreement is the pharmacist’s instruction for use or administration to the patient, the patient’s representative, or the administrator, by which the medication agreement is specified in concrete terms.
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:9.8.22661
|
|
 PharmaceuticalTreatmentID
|
1
|
Identification of a medication treatment. A pharmaceutical treatment is defined as a treatment with a medicinal product. The PharmaceuticalTreatmentID is a technical identifier (worldwide and forever unique) that is required to record the relationship between a set of medication-related data elements. An identically defined PharmacotherapeuticTreatmentID has been added to all medication-related Health and Care Information Models (HCIMs): MedicationAgreement, MedicationAdministration2, AdministrationAgreement, MedicationUse2, MedicationDispense, and DispenseRequest.
|
|
|
|
NL-CM:9.8.22662
|
|
PreviousAgreement::AdministrationAgreement
|
0..*
|
One ore more dispense agreement that have been discontinued or modified and for which this agreement is a replacement. When recording a new medication agreement that is intended to discontinue or modify one ore more existing agreement, the dispense agreement changes accordingly. Here it is possible to explicitly indicate which previous dispense agreements the discontinuation relates to. This reference is used in combination with the corresponding discontinuation type and any reason for changing or discontinuing.
|
|
|
|
NL-CM:9.8.22499
|
|
AdministrationAgreementReasonModificationOrDiscontinuation
|
0..1
|
Reason for changing, discontinuing, or cancelling the administration agreement. This will often be the same reason as the reason for changing, discontinuing, or cancelling the medication agreement. Where applicable, it is possible to record a specific reason for changing, discontinuing, or cancelling the administration agreement.
|
|
|
|
|
NL-CM:9.8.22097
|
|
Supplier::HealthcareProvider
|
0..1
|
The supplier (healthcare provider) that entered the administration agreement.
|
|
|
|
|
NL-CM:9.8.20237
|
|
MedicineForAdministrationAgreement::PharmaceuticalProduct
|
1
|
Medicine in the AdministrationAgreement.
|
|
|
|
|
NL-CM:9.8.22098
|
|
InstructionsForUse
|
0..1
|
Instructions for administering the medication, e.g. dose and route of administration.
|
|
|
|
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.
|
|
|
|
|
NL-CM:9.8.22394
|
|
MedicationAgreement
|
0..1
|
Relationship to the medication agreement on which the administration agreement is based.
|
|
|
|
|
NL-CM:9.8.22498
|
|
AdministrationAgreementStopType
|
0..1
|
Stop type indicates whether the medication has been cancelled or discontinued.
|
|
|
|
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
|
|
|
|
|
Instructions
The rules about linking an existing PharmaceuticalTreatmentID or to issue a new PharmaceuticalTreatmentID have been determined by the Medication Process information standard established by Nictiz.
Assigning authorities
The identifying numbers are issued by the following authorities
Geen
| Identifying number |
ID system OID
|
| Geen |
OID: Geen
|
Valuesets
AdministrationAgreementReasonModificationOrDiscontinuationCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.3
|
Binding: Extensible
|
Status: Active
|
| 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 of previous care provider continued
|
112261000146100
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Voortzetten van beleid van vorige zorgverlener
|
| 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
|
| Double registration of medication treatment
|
180011000146107
|
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
|
|
|
| Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.
|
AdministrationAgreementStopTypeCodeList
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.1
|
Binding: Required
|
Status: Active
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Discontinued
|
410546004
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Stopgezet
|
| Suspended
|
385655000
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Onderbroken
|
| Canceled
|
89925002
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geannuleerd
|
|
|
| Other values are not allowed
|
This information model in other releases
Information model references
This information model refers to
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 prerelease 2026-1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms versie: 20260331 [R] (maart 2026-editie)
- LOINC version 2.81
Conditions for use are located on the mainpage
This page is generated on 19/04/2026 15:41:31 with ZibExtraction v. 10.0.9604.31200
