PharmaceuticalProduct-v2.0(2018EN)

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General information

Name: nl.zorg.part.PharmaceuticalProduct NL.png
Version: 2.0
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018


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Metadata

DCM::CoderList Projectgroep Medicatieproces
DCM::ContactInformation.Address
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom
DCM::ContentAuthorList Projectgroep Medicatieproces
DCM::CreationDate 1-3-2017
DCM::DeprecatedDate
DCM::DescriptionLanguage nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name PM
DCM::EndorsingAuthority.Telecom
DCM::Id 2.16.840.1.113883.2.4.3.11.60.40.3.9.7
DCM::KeywordList FarmaceutischProduct
DCM::LifecycleStatus Final
DCM::ModelerList Architectuurgroep Registratie aan de Bron
DCM::Name nl.zorg.part.FarmaceutischProduct
DCM::PublicationDate 01-10-2018
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Superseeds nl.zorg.part.Product-v1.0
DCM::Version 2.0
HCIM::PublicationLanguage EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 2.0 (31-12-2017)

ZIB-472 Terminologiekoppeling klopt niet met beschrijving
ZIB-618 Hernoemen Verstrekking naar Medicatieverstrekking

Concept

The prescribed substance is usually medication. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Food and blood products do not strictly belong in the medication category, but can be prescribed and supplied by a pharmacy as well.

A type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary.

In addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example).

Entering multiple ingredients will enable you to display a compound product. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’.

In that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) ingredient(s) of the medication.

Magistral prescriptions can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.
This is a partial information model

Purpose

The purpose of Product is to unambiguously describe the medication to be used.

Information Model


#13249#13260#IngredientCodeGTINCodelist#ProductCodeATCCodelist#IngredientCodeSSKCodelist#IngredientCodeATCCodelist#Pharmaceutical formCodelist#IngredientCodeSNKCodelist#IngredientCodeZICodelist#IngredientCodePRKCodelist#IngredientCodeHPKCodelist#IngredientCodeGPKCodelist#ProductCodeZICodelist#ProductCodeGTINCodelist#ProductCodePRKCodelist#ProductCodeHPKCodelist#ProductCodeGPKCodelist#13251#13268#13273#13259#13272#13253#13248#13252#13255PharmaceuticalProduct-v2.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:9.7.19926 Arrowdown.pngFarmaceuticalProduct Root concept of the FarmaceuticalProduct partial information model. This root concept contains all data elements of the FarmaceuticalProduct partial information model.

The prescribed product is usually a medicine. However, medical aids and bandages can also be prescribed and supplied via the pharmacy. Strictly speaking, food and blood products do not belong in the medication category, but can be prescribed and supplied by a pharmacy as well.

A type of medication can be indicated with a single code. That code can be chosen from several possible coding systems (concretely: GPK, PRK, HPK or article numbers). Correct use of these codes in the software systems will sufficiently record the composition of the product used, making a complete product specification unnecessary.

In addition to a primary code, alternative codes from other coding systems can also be entered (so that the GPK can be sent along in the event that the patient was registered based on PRK, for example).

Entering multiple ingredients will enable you to display a compound product. If one of the composite parts is liquid, the dosage will be given in milliliters; otherwise it will be given in ‘units’.

In that case, the composition of the medication can be specified implicitly (with the use of a medication code) or explicitly, for example by listing the (active) substance(s) of the medication.

Prescriptions to be prepared by the pharmacy can be entered as well. This can be done by means of the option listed above to enter coded ingredients and/or by entering the composition and preparation method as free text.

Folder.png NL-CM:9.7.19928 Arrowdown.pngProductSpecifications 0..1 Container of the ProductSpecifications concept. This container contains all data elements of the ProductSpecifications concept.

Product specifications are required if the product code is not sufficient to ascertain the active substances and strength.

CD.png NL-CM:9.7.19931 Arrowright.pngPharmaceuticalForm 0..1 The pharmaceutical form indicates the form of the medication in accordance with the route of administration. Examples include: tablet, suppository, infusion liquid, ointment. If the product has a generic code in the G standard, the form will be known in the G standard. For products without a code (free text, preparation by the pharmacy), the means of administration can be entered.
List2.png Pharmaceutical formCodelist
CD.png NL-CM:9.7.19927 Arrowright.pngMedicationCode 0..1 Coding medication in the Netherlands is done on the basis of the G standard (issued by Z-index), which is filled under the direction of KNMP.

The coded medication can be expressed as:

  • GTIN International Article Number
  • KNMP article number = ATKODE (2.16.840.1.113883.2.4.4.8)
  • Trade product code (HPK)
  • Prescription code (PRK)
  • Generic product code (GPK)
  • Anatomic Therapeutic Classification code (ATC)
  • Substance Name Code (SNK)
  • Substance Name Code, in combination with Route of Administration (SSK)
  • 90.000.000 number (individual code setting) (or similar from the facility)

The GTIN enables identification of the product including its origin with a barcode. The ATKODE is the number with which wholesalers link the article to pharmacy systems (e.g. a box with 3 strips of 10 tablets). The HPK is the code for the trade product (with the brand name) as used per dose/per time the medication is taken (1 pill, 1 puff, 1ml) The PRK codes for the same product as the HPK does, but is not linked to a manufacturer (no brand name, no characteristics such as color, geometrical shape etc.). This code will enable a generic prescription, while still defining which trade product can be taken (e.g. a 200ml bag). The generic product code defines the composition of a product, and is sufficient for recording the prescription, but not the order. The prescription code (PRK) was developed and added to the older generic (GPK) and supplier-specific (HPK, ATKODE) coding to enable a generic product to be entered without listing a specific brand on the one hand, and to enable providing enough information to support the pharmacy supplying it on the other. The Substance Name Code (SNK) and the Substance Name Code, in combination with Route of Administration (SSK) are used to prescribe at a more generic level. The GTIN coding is used for the implementation of a barcode scanning standard and to be able to trace the origin of the product. The 90.000.000 number is used in accordance with national agreements.

List2.png ProductCodeATCCodelist
List2.png ProductCodeGPKCodelist
List2.png ProductCodeGTINCodelist
List2.png ProductCodeHPKCodelist
List2.png ProductCodePRKCodelist
List2.png ProductCodeZICodelist
ST.png NL-CM:9.7.19929 Arrowright.pngMedication 0..1 There is no code for medication entered in free text. In these cases, enter the complete description.
ST.png NL-CM:9.7.19784 Arrowright.pngDescription 0..1 A textual description of the type of medication (including relevant properties of the composition and preparation method if possible), which is only used if no coded indication from the G Standard is available (magistral preparation).
Folder.png NL-CM:9.7.19932 Arrowdown.pngIngredient 0..* Container of the Ingredient concept. This container contains all data elements of the Ingredient concept.

A product contains one or more active substances and excipients. These are usually determined by the product code. For medication prepared or compounded by the local pharmacy, each ingredient must be entered separately.

The active substances play an important role, as they: a) determine the pharmacotherapeutic effect of the medication and b) serve as the basis for the indication of the strength of the medication (e.g. 200mg).

CD.png NL-CM:9.7.19934 Arrowright.pngSubstanceCode 0..1 Active substance or excipient.

Here, the same codes can be used as for the ProductCode (for dilutions and compounds in particular), but now, the ATC, SSK and SNK codes can also be used to indicate a substance (to list ingredients of local products prepared by the pharmacy).

  • GTIN International Article Number
  • KNMP article number
  • Trade product code (HPK)
  • Prescription code (PRK)
  • Generic product code (GPK)
  • ATC (anatomic therapeutic classification)
  • SSK (substance name code with route of administration)
  • SNK (substance name code)

The ATC is an international classification of pharmaceutical substances without a reference to specific products on the market. Therefore, the ATC code of a generic product will not contain a reference to a certain dose, pharmaceutical form or route of administration; it will only contain a reference to the ingredients (not the amount/concentration/strength).

List2.png IngredientCodeATCCodelist
List2.png IngredientCodeGPKCodelist
List2.png IngredientCodeGTINCodelist
List2.png IngredientCodeHPKCodelist
List2.png IngredientCodePRKCodelist
List2.png IngredientCodeSNKCodelist
List2.png IngredientCodeSSKCodelist
List2.png IngredientCodeZICodelist
Folder.png NL-CM:9.7.19933 Arrowdown.pngConcentration 0..1 The relative amount of this ingredient in this product.

Calculation of Concentration = Ingredient Amount ÷ Product Amount.

This could be a concentration if the medication is dissolved in liquid, for example.

PQ.png NL-CM:9.7.22277 Arrowright.pngIngredientAmount 0..1 The amount of this ingredient. This is the numerator for the calculation of the concentration. The unit should be selected from the G-Standard (Table 902).
PQ.png NL-CM:9.7.22278 Arrowright.pngProductAmount 0..1 Amount of the product. This is the denominator for the calculation of the concentration.Optionally a translation to NHG table Gebruiksvoorschriften(Table 25) is also allowed.

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

Example Instances

Only available in Dutch

Afgesproken geneesmiddel
Farmaceutischproduct
Lisinopril tablet 10mg
Methotrexaat injvlst 25mg/ml 0,6 ml

Valuesets

IngredientCodeATCCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.13 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden Anatomic Therapeutic Classification (ATC) 2.16.840.1.113883.6.73

IngredientCodeGPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.9 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Generieke Product Kode (GPK) 2.16.840.1.113883.2.4.4.1

IngredientCodeGTINCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.16 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden Global Trade Item Number (GTIN) 1.3.160

IngredientCodeHPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.10 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

IngredientCodePRKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.11 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Voorschrijfproducten (PRK) 2.16.840.1.113883.2.4.4.10

IngredientCodeSNKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.14 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-standaard Stofnaamcode (SNK) 2.16.840.1.113883.2.4.4.1.750

IngredientCodeSSKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.15 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-standaard Stofnaamcode i.c.m. toedieningsweg (SSK) 2.16.840.1.113883.2.4.4.1.725

IngredientCodeZICodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.12 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Artikelen (ook KNMP-nummer, ATKODE) 2.16.840.1.113883.2.4.4.8

Pharmaceutical formCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.8 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Farmaceutische vormen 2.16.840.1.113883.2.4.4.11

ProductCodeATCCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.7 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden Anatomic Therapeutic Classification (ATC) 2.16.840.1.113883.6.73

ProductCodeGPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.6 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Generieke Product Kode (GPK) 2.16.840.1.113883.2.4.4.1

ProductCodeGTINCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.2 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden Global Trade Item Number (GTIN) 1.3.160

ProductCodeHPKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.5 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Handels Product Kode (HPK) 2.16.840.1.113883.2.4.4.7

ProductCodePRKCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.3 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Voorschrijfproducten (PRK) 2.16.840.1.113883.2.4.4.10

ProductCodeZICodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.7.1 Binding: Extensible
Conceptname Codesystem name Codesystem OID
Alle waarden G-Standaard Artikelen (ook KNMP-nummer, ATKODE) 2.16.840.1.113883.2.4.4.8

This information model in other releases

Information model references

This information model refers to

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This inforation 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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage List2.png
This page is generated on 01/11/2018 17:27:55 with ZibExtraction v. 2.0.6879.31307


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