Attention!! This is not the most recent version of this information model. You can find the most recent version
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General information
Name: nl.zorg.MedicationUse2 
Version: 2.1
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023
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 |
15-10-2023
|
| DCM::PublicationStatus |
Prepublished
|
| DCM::ReviewerList |
Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
|
| DCM::RevisionDate |
08-09-2023
|
| DCM::Supersedes |
nl.zorg.MedicatieGebruik2-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-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
|
Publicatieversie 1.1.1 (01-09-2020)
| ZIB-911
|
Correction English "Farmaceutical"
|
Publicatieversie 1.2 (01-12-2021)
| ZIB-1261
|
Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes
|
| ZIB-1454
|
Onduidelijkheid codes bij StopType codelijsten
|
| ZIB-1575
|
Deprecated termen en waardelijsten uit de prepublicatie halen
|
Publicatieversie 2.0 (10-06-2022)
| ZIB-1685
|
Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met'
|
| ZIB-1725
|
Verzameling errata bouwsteen Medicatiegebruik
|
Publicatieversie 2.1 (15-10-2023)
| ZIB-1965
|
Voorbeeld medicatiegebruik gebruiksduur: maand niet toegestaan
|
| ZIB-1974
|
Suggested typo and textual improvements
|
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.
|
|
|
|
|
NL-CM:9.11.21339
|
|
ProductUsed::PharmaceuticalProduct
|
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.
|
|
|
|
|
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 that the patient followed.
|
|
|
|
NL-CM:9.11.22398
|
|
MedicationUseDateTime
|
1
|
Date on which this use is entered.
|
|
|
|
|
NL-CM:9.11.22663
|
|
PeriodOfUse::TimeInterval
|
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 until and including', the submission of time is always mandatory for the end date.
|
|
|
|
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?
|
|
|
|
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).
|
|
|
|
|
NL-CM:9.11.22493
|
|
ReasonModificationOrDiscontinuationOfUse
|
0..*
|
Reason for changing or discontinuing use of medication.
|
|
|
|
|
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
|
|
4 weken
|
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
|
| 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.
|
ReasonModificationOrDiscontinuationOfUseCodeList
| 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 [DEPRECATED]
|
| 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
|
| Adverse reaction to drug
|
62014003
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Overgevoeligheid
|
| Hypersensitivity condition
|
473010000
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Overgevoeligheid [DEPRECATED]
|
| Lack of drug action
|
58848006
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geen of onvoldoende effect
|
| Drug action too strong
|
112251000146103
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Te sterk effect
|
| At increased risk of medication side effect
|
704417003
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
(Mogelijke) bijwerking [DEPRECATED]
|
| Insufficient route of drug administration
|
112191000146101
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Toedieningsweg voldoet niet
|
| Drug treatment not indicated
|
183966005
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Indicatie vervallen
|
| Medication management changed
|
112751000146109
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Beleidswijziging
|
| Admission to establishment
|
305335007
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Opname
|
| Patient requested modification of treatment
|
159711000146106
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
verzoek van zorgafnemer om behandeling te wijzigen Verzoek van zorgafnemer om behandeling te wijzigen
|
| Patient requested treatment
|
184003006
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Wens patiënt [DEPRECATED]
|
| Patient takes medication as prescribed
|
112221000146107
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Medicatiegebruik van patiënt volgens afspraak
|
| Patient agreed with treatment
|
112211000146102
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Volgens afspraak [DEPRECATED]
|
| Treatment previous prescriber continued
|
112261000146100
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Hervatten beleid vorige voorschrijver
|
| Change in laboratory test finding
|
160131000146104
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Verandering in labwaarde
|
| Drug not available - out of stock
|
182856006
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Geneesmiddel niet voorradig
|
| Incorrect registration of medication
|
159691000146109
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Foutieve registratie van medicatie
|
| Planned procedure
|
405613005
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
|
| Overig
|
OTH
|
NullFlavor
|
2.16.840.1.113883.5.1008
|
Overig
|
This information model in other releases
Information model references
This information model refers to
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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 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 18:35:04 with ZibExtraction v. 9.3.8704.31782
