MedicationUse2-v1.1(2019EN)

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General information

Name: nl.zorg.MedicationUse2
Version: 1.1
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 31-01-2020

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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	2.16.840.1.113883.2.4.3.11.60.40.3.9.11
DCM::KeywordList	Medicatie, Gebruik
DCM::LifecycleStatus	Final
DCM::ModelerList	Architectuurgroep Registratie aan de Bron
DCM::Name	nl.zorg.MedicatieGebruik2
DCM::PublicationDate	31-01-2020
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate	31-12-2017
DCM::Supersedes	nl.zorg.MedicatieGebruik2-v1.0.1
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-618	Hernoemen Verstrekking naar Medicatieverstrekking
ZIB-643	Kleine tekstuele verbeteringen

Publicatieversie 1.1 (31-01-2020)

ZIB-906	Typo engelse term medicatie gebruik zib
ZIB-888	terminologie reden voor stoppen medicatie verbeteren en SNOMED coderingen zibs met meditatieproces gelijktrekken

.

Concept

MedicationUse is a statement on the historic, current or intended use of a certain medicine.

Purpose

The goal of the medication use is to provide insight into the patient’s pattern of use.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:9.11.21338	MedicationUse							Root concept of the MedicationUse information model. This root concept contains all data elements of the MedicationUse information model.	422979000 Medication regimen behavior finding
	NL-CM:9.11.23290		Prescriber::HealthProfessional					0..1	The health professional that entered the medication agreement with the patient.		HealthProfessional
	NL-CM:9.11.21339		ProductUsed::FarmaceuticalProduct					1	The product used. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be recorded as well. In principle, this will be the prescribed product, but the product used may differ from the prescribed product.		PharmaceuticalProduct
	NL-CM:9.11.22504		InstructionsForUse					0..1	Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed.		InstructionsForUse
	NL-CM:9.11.22398		MedicationUseDateTime					1	Date on which this use is entered.
	NL-CM:9.11.22663		PeriodOfUse					0..1	Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded. Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). 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). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.		TimeInterval
	NL-CM:9.11.22492		AsAgreedIndicator					0..1	Is the medicine used as outlined in the medication agreement?
	NL-CM:9.11.22399		UseIndicator					1	Is this medicine used or not?	112221000146107 patient takes medication as prescribed (finding)
	NL-CM:9.11.22491		ReasonForUse					0..1	The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.
	NL-CM:9.11.23132		MedicationUseStopType					0..1	Stop type, the manner in which this medication is discontinued (temporary or definitive).		MedicationUseStopTypeCodeList
	NL-CM:9.11.22493		ReasonForChangeOrDiscontinuationOfUse					0..*	Reason for changing or discontinuing use of medication.		ReasonForChangeOrDiscontinuationOfUseCodeList
	NL-CM:9.11.21624		Comment					0..1	Comments on the medication use.	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

MedicatieGebruik DatumTijd	GebruikIndicator	VolgensAfspraak Indicator	Medicatiegebruik Stoptype	Gebruiksperiode			Gebruiksproduct
				Ingangsdatum	Einddatum	Gebruiksduur	ProductCode
3-6-2014 16:19:07	Ja			Mei 2014		1 maand	Paracetamol tablet 500 mg
11-9-2012 17:21:00	Ja	Ja		01-09-12	05-09-12		Pantoprazol injpdr 40 mg fl
19-9-2014 4:12:11	Nee	Nee	Definitief	17-09-14			Dalteparine 2500 injvlst 12.500 ie/ml wwsp 0,2ml

RedenGebruik	RedenWijzigen OfStoppen Gebruik	GebruiksInstructie
		Omschrijving	ToedieningsWeg	Aanvullende instructie	Doseerinstructie
					Doseerduur	Dosering| Keerdosis	Toedieningsschema |Frequentie |Interval |Toedientijd |Weekdag |Dagdeel
Pijn		In de maand mei heb ik regelmatig paracetamol gebruikt.
Ulcusprofylaxe		Vanaf 1 september 2012 gedurende 5 dagen 1x per dag om 8uur 40 mg (=1 st)	iv			40 mg (=1 st)	1x per dag om 8.00 uur
	(Mogelijke) bijwerking	Tijdelijk gestopt vanwege toenemende bijwerkingen: duizeligheid en misselijkheid.	subcutaan			2500 IE	1x per dag om 18.00 uur

Valuesets

MedicationUseStopTypeCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.1

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Tijdelijk	1	StopType	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1	Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie). (DEPRECATED)
Drug therapy temporarily stopped (finding)	112171000146100	SNOMED CT	2.16.840.1.113883.6.96	Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie).
Definitief	2	StopType	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1	Het staken van een bestaande medicamenteuze behandeling. (DEPRECATED)
Drug therapy definitively stopped (finding)	112161000146106	SNOMED CT	2.16.840.1.113883.6.96	Het staken van een bestaande medicamenteuze behandeling.

ReasonForChangeOrDiscontinuationOfUseCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Medication commenced	266709005	SNOMED CT	2.16.840.1.113883.6.96	Starten medicamenteuze behandeling
Administration of medication contraindicated	438833006	SNOMED CT	2.16.840.1.113883.6.96	Contra-indicatie
Medication interaction	79899007	SNOMED CT	2.16.840.1.113883.6.96	Interactie
Hypersensitivity condition	473010000	SNOMED CT	2.16.840.1.113883.6.96	Overgevoeligheid
Geen of onvoldoende effect	5	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Geen of onvoldoende effect(DEPRECATED)
Lack of drug action	58848006	SNOMED CT	2.16.840.1.113883.6.96	Geen of onvoldoende effect
Te sterk effect	6	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Te sterk effect(DEPRECATED)
Too strong drug action (finding)	112251000146103	SNOMED CT	2.16.840.1.113883.6.96	Te sterk effect
(Mogelijke) bijwerking	7	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	(Mogelijke) bijwerking(DEPRECATED)
At risk of medication side effect	704417003	SNOMED CT	2.16.840.1.113883.6.96	(Mogelijke) bijwerking
Toedieningsweg voldoet niet	8	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Toedieningsweg voldoet niet (DEPRECATED)
Insufficient route of administration (finding)	112191000146101	SNOMED CT	2.16.840.1.113883.6.96	Toedieningsweg voldoet niet
Indicatie vervallen	9	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Indicatie vervallen(DEPRECATED)
Drug treatment not indicated	183966005	SNOMED CT	2.16.840.1.113883.6.96	Indicatie vervallen
Beleidswijziging	10	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Beleidswijziging(DEPRECATED)
Medication management changed (situation)	112751000146109	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Beleidswijziging
Admission to establishment	305335007	SNOMED CT	2.16.840.1.113883.6.96	Opname
Wens patiënt	12	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Wens patiënt(DEPRECATED)
Patient requested treatment	184003006	SNOMED CT	2.16.840.1.113883.6.96	Wens patiënt
Volgens afspraak	13	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Volgens afspraak(DEPRECATED)
Patient accepted drug therapy (situation)	112211000146102	SNOMED CT	2.16.840.1.113883.6.96	Volgens afspraak
Hervatten beleid vorige voorschrijver	14	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Hervatten beleid vorige voorschrijver(DEPRECATED)
Treatment previous prescriber continued (situation)	112261000146100	SNOMED CT	2.16.840.1.113883.6.96	Hervatten beleid vorige voorschrijver
Geplande procedure	15	Medicatieafspraak Reden	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2	Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.(DEPRECATED)
Planned procedure	405613005	SNOMED CT	2.16.840.1.113883.6.96	Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
Overig	OTH	NullFlavour	2.16.840.1.113883.5.1008	Overig

This information model in other releases

• Release 2017, (Version 1.0.1)
• Prerelease 2018-2, (Version 1.0.1)
• Release 2020, (Version 1.1.1)
• Prerelease 2021-2, (Version 1.2)
• Prerelease 2022-1, (Version 2.0)
• Prerelease 2023-1, (Version 2.1)
• Prerelease 2024-1, (Version 3.0)

Information model references

This information model refers to

• HealthProfessional-v3.4
• InstructionsForUse-v1.2
• PharmaceuticalProduct-v2.1.1
• TimeInterval-v1.0

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 Prerelease 2019-2
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
• LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 03/02/2020 01:39:57 with ZibExtraction v. 4.0.7338.2051

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