MedicationContraIndication-v1.1(2021EN)

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General information

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

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Metadata

DCM::CoderList	*
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	*
DCM::CreationDate	15-06-2020
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	*
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.9.14
DCM::KeywordList
DCM::LifecycleStatus	Final
DCM::ModelerList	*
DCM::Name	nl.zorg.MedicatieContraIndicatie
DCM::PublicationDate	01-12-2021
DCM::PublicationStatus	Prepublished
DCM::ReviewerList
DCM::RevisionDate	09-11-2021
DCM::Supersedes	nl.zorg.MedicatieContraIndicatie-v1.0
DCM::Version	1.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-09-2020)

Publicatieversie 1.1 (01-12-2021)

ZIB-1253	Voorbeelden in zib MedicatieContraIndicatie aanpassen
ZIB-1254	Paragraaf "Concept" aanpassen
ZIB-1268	Engelse omschrijving Melder::Zorgverlener niet correct
ZIB-1283	Haakje weghalen bij eerste bullet bij Instructie
ZIB-1401	Voorbeeld incorrect bij MedicatieContraIndicatie

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 .
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

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:9.14.1	MedicationContraIndication							Root concept of the MedicationContraIndication information model.This root concept contains all data elements of the MedicationContraIndication information model.	140401000146105 Medical contraindication related to medication
	NL-CM:9.14.2		StartDate					0..1	The date and possibly time when the contra-indication for medication was identified.	140821000146104 Date when contraindication was established
	NL-CM:9.14.3		EndDate					0..1	The date and, if applicable, time when the contraindication for medication monitoring is considered no longer applicable.	140831000146102 Date when contraindication expired
	NL-CM:9.14.4		ReasonClosure					0..1	Reason for closing the medication contraindication.	140411000146107 Reason for expiration of contraindication
	NL-CM:9.14.5		Reporter::HealthProfessional					1	The healthcare professional who takes responsibility for the registering the contraindication.		HealthProfessional
	NL-CM:9.14.6		MedicationContraIndicationName					1	The name and code of the contraindication from the Dutch National Contra-indication list (G-standard Thesaurus 40).	129850005 At risk for negative response to medication	MedicationContraIndicationNameCodelist
	NL-CM:9.14.7		Comment					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.	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

MedicatieContraIndicatie
Contra Indicatie	BeginDatum	EindDatum	Reden van Afsluiten	Toelichting	Zorgverlener::Melder
					Naam	Specialisme	Zorgaanbieder
(1320) Zwangerschap	08-06-2020	08-03-2021			D. Bakker	Huisarts	Huisartsenpraktijk Bakker
(0210) Sportbeoefening	01-08-2015			Handboogschieten	K. Vriendwijk	Huisarts	Huisartsenpraktijk ‘t Zonnetje
(113) Morbide obesitas	31-12-2016	21-09-2019	Heeft gewicht verloren		T. de Groot	Huisarts	Zorginstelling De beste zorg
(1355) Bariatrische chirurgie	10-04-2019				L. de Jong	Chirurg	Ziekenhuis Kwaliteit en Veiligheid

Instructions

In the G-standard Thesaurus 40, Z-Index uses 2 terms.

1. The contraindication nature: the list of items referred to from MedicationContraIndicationName and
   
2. the contraindication: the combination of recorded contraindication nature + the medicine (the contraindication codes from file 655).

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

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.14.1

Binding: Required

Conceptname	Codesystem name	Codesystem OID
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

• Release 2020, (Version 1.0)
• Prerelease 2022-1, (Version 2.0)
• Prerelease 2023-1, (Version 2.0.1)
• Prerelease 2024-1, (Version 2.0.1)

Information model references

This information model refers to

• HealthProfessional-v3.5.1

This information model is used in

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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
• 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 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
This page is generated on 30/11/2021 09:43:26 with ZibExtraction v. 6.4.8004.1652

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