MedicationAdministration-v1.0(2015EN): verschil tussen versies

Huidige versie van 24 dec 2018 om 12:15

Attention!! This is not the most recent version of this information model. You can find the most recent version here.

General information

Name: nl.nfu.MedicationAdministration
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015

Back to HCIM list

Metadata

DCM::CoderList	Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom
DCM::ContentAuthorList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate	19-12-2013
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	NFU
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.9.3
DCM::KeywordList	Medicatie, Toediening
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.nfu.MedicatieToediening
DCM::PublicationDate	1-4-2015
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	1-4-2015
DCM::Superseeds	nl.nfu.OverdrachtMedicatie-v1.1 (2.16.840.1.113883.2.4.3.11.60.40.3.9.1)
DCM::Version	1.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-56	RFC Bouwsteen Medicatie
ZIB-308	Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-353	Tagged values DCM::CodeSystem aanpassen naar DCM::ValueSet incl. gekoppelde codelijst.

Incl. algemene wijzigingsverzoeken:

ZIB-94	Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154	Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200	Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201	Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309	EOI aangepast
ZIB-324	Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326	Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Concept

Administration of medication describes the actual administration of the medication. This can be simply swallowing a tablet, applying ointment or paste, or an infusion that takes a considerable amount of time.
The administration can refer to a medication prescription, but can also refer to home medication.

Purpose

To precisely plan the medication to be administered in a chain of collaborating healthcare professionals, it is often best to have information on the most recent administrations of medication, food or blood products.

Information Model

MedicationAdministration-v1.0Model(2015EN).png

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:9.3.1

MedicationAdministration

Root concept of the MedicationAdministration building block. This root concept contains all data elements of the MedicationAdministration building block.

NL-CM:9.3.2

ProductToBeAdministered::Product

1

The product taken or administered. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be reported as well.

In principle, this will be the prescribed product, but the administrator may substitute it by replacing the product with an equivalent product. For example: two 50mg tablets can be administered instead of one 100mg tablet.

MedicationPrescription

NL-CM:9.3.3

Prescription::MedicationPrescription

0..1

The agreement or order mandating the administration.

MedicationPrescription

NL-CM:9.3.4

MedicationAdministrationStatus

1

The status of the administration, as a description of the stage within the administration process. For indivisible products (such as tablets or suppositories) only the status codes ‘completed’ and ‘cancelled’ apply. For divisible products (such as infusions), administration can also be ‘suspended’ or ‘aborted’.

When documenting this, the following interpretations are used:

Active: The product is administered.
Interrupted: Use has (temporarily) been interrupted, because of a side effect, for example. Later, the patient and/or doctor can decide whether or not to resume or discontinue use.
Discontinued: Administration has stopped.
Completed: The administration has now been completed (according to the plan, prescription or agreement).
Not started: The product was never administered.

MedicationAdministrationStatusCodelist

NL-CM:9.3.5

MedicationAdministrationReasonForNoAdministration

0..1

Reason why the medication was not taken or administered. Here, you can choose to enter text or one of the codes.

MedicationAdministrationReasonForNoAdministrationCodelist

NL-CM:9.3.6

AdministrationDateTime

1

The date and time at which the medication was taken or administered.

NL-CM:9.3.7

AdministeredAmount

1

Amount of the administered product.

NL-CM:9.3.8

RouteOfAdministration

0..1

The route through which the medication is administered (oral, nasal, intravenous,...).

AdministrationRouteOfAdministrationCodelist

NL-CM:9.3.9

Administrator

0..1

Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product.

NL-CM:9.3.10

HealthcareProvider

(0..1)

The healthcare provider who administered the product.

HealthProfessional

NL-CM:9.3.11

Patient

(0..1)

The patient who administered the product.

Patient

NL-CM:9.3.12

Caregiver::Contact

(0..1)

The caregiver who administered the product.

ContactPerson

NL-CM:9.3.13

Explanation

0..1

Comments on administering the medication.

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

ToedieningsProduct	Toedieningsweg	ToegediendeHoeveelheid	ToedieningsTijdstip	Medicatie ToedieningStatus	MedicatieToediening RedenVanNietToedienen	Voorschrift
ProductNaam						RedenVanVoorschrijven
						Probleem
Paracetamol tablet 500 mg	Oraal	1 tablet	3-5-2014 10:00	Het product is niet toegediend.	Patiënt heeft geweigerd	Pijn

ToedieningsProduct	Toedieningsweg	ToegediendeHoeveelheid	ToedieningsTijdstip	Medicatie ToedieningStatus	MedicatieToediening RedenVanNietToedienen	Voorschrift
ProductNaam						RedenVanVoorschrijven
						Probleem
Glucose/NaCl 2,5/0,45% infvlst zak 500ml	iv	500ml	3-5-2014 12:00	Onderbroken		Ondervulling

References

1. GROOT, E. (2011) Dataset medicatieproces 2011. [Online] Den Haag: Nictiz. Beschikbaar op: http://www.nictiz.nl/module/360/590/Dataset_Medicatieproces_2011.xlsx [Geraadpleegd: 23 juli 2014].

2. HL7v3-implementatiehandleiding medicatieproces versie 6.1.0.0. [Online] Den Haag: Nictiz. Beschikbaar op: http://www.nictiz.nl/uploaded/FILES/html_cabinet/live/Zorgtoepassing/Medicatieproces/AORTA_Mp_IH_Medicatieproces_HL7.htm [Geraadpleegd: 23 juli 2014].

3. Dossier Medicatieoverzicht. [Online] Beschikbaar op: Oria.nl. [Geraadpleegd: 23 juli 2014].

4. G-standaard documentatie. [Online] Beschikbaar op: http://www.z-index.nl/ [Geraadpleegd: 23 juli 2014].

Valuesets

AdministrationRouteOfAdministrationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.3	Binding:

Conceptname	Codesystem name	Codesystem OID
Alle waarden	G-Standaard Toedieningswegen	2.16.840.1.113883.2.4.4.9

MedicationAdministrationReasonForNoAdministrationCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.2	Binding:

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Product discontinued	DISCONT	ActReason	2.16.840.1.113883.5.8	Product niet meer leverbaar
Patient not available	NON-AVAIL	ActReason	2.16.840.1.113883.5.8	Patiënt niet beschikbaar
Patient refuse	PREFUS	ActReason	2.16.840.1.113883.5.8	Patiënt heeft geweigerd
Unable to use	UNABLE	ActReason	2.16.840.1.113883.5.8	Toediening volgens voorschrift niet mogelijk
Order aborted	FOABORT	ActReason	2.16.840.1.113883.5.8	Voorschrift is gestopt
Forgotten to administer	FORGOT	NL-CM-CS	2.16.840.1.113883.2.4.3.11.60.40.4	Vergeten toe te dienen
Administration performer not available	APNA	NL-CM-CS	2.16.840.1.113883.2.4.3.11.60.40.4	Toediener niet aanwezig
No information	NI	NullFlavor	2.16.840.1.113883.5.1008	Geen informatie

MedicationAdministrationStatusCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.1	Binding:

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Active	active	ActStatus	2.16.840.1.113883.5.14	Actief
Suspended	suspended	ActStatus	2.16.840.1.113883.5.14	Onderbroken
Aborted	aborted	ActStatus	2.16.840.1.113883.5.14	Afgebroken
Completed	completed	ActStatus	2.16.840.1.113883.5.14	Voltooid
Cancelled	cancelled	ActStatus	2.16.840.1.113883.5.14	Niet gestart

This information model in other releases

Release 2016, (Version 3.0)

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 Registratie aan de bron publication 2015 including errata dd. 16-07-2015
Conditions for use are located on the mainpage
This page is generated on 24/12/2018 12:30:04 with ZibExtraction v. 3.0.6932.1989

Back to HCIM list

@@ Regel 1: / Regel 1: @@
-==General information==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-Name: '''nl.nfu.MedicationAdministration''' [[Bestand:NL.png|link=MedicatieToediening-v1.0(2015NL)]]<BR>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.3(EN)|1|MedicationAdministration-v1.0(2015EN)}}
-Version: '''1.0''' <br>
+<!-- Tot hier de transclude page -->
-HCIM Status:Final<br>
+==General information<!--hdGeneralInformation-->==
-Release: '''2015''' <br>
+Name<!--hdName-->: '''nl.nfu.MedicationAdministration''' [[Bestand:NL.png|link=MedicatieToediening-v1.0(2015NL)]]<BR>
-Release status: Published<br>
+Version<!--hdVersion-->: '''1.0''' <br>
-Release date: 1-4-2015
+HCIM Status<!--hdStatus-->:Final<br>
+Release<!--hdPublication-->: '''2015''' <br>
+Release status<!--hdPublicationStatus-->: Published<br>
+Release date<!--hdPublicationDate-->: 1-4-2015
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
 ==Metadata==
@@ Regel 61: / Regel 64: @@
 ==Revision History==
 <div class="mw-collapsible mw-collapsed">
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 <u>Publicatieversie 1.0</u> (01-04-2015)
@@ Regel 111: / Regel 114: @@
 ==Information Model==
 <BR>
-<imagemap> Bestand:MedicationAdministration-v1.0Model(EN).png | center
+<imagemap> Bestand:MedicationAdministration-v1.0Model(2015EN).png | center
-rect 161 591 363 641 [[#AdministrationRouteOfAdministrationCodelist]]
+rect 171 599 373 649 [[#AdministrationRouteOfAdministrationCodelist]]
-rect 623 60 747 130 [[ContactPerson-v1.2(2015EN)]]
+rect 633 68 757 138 [[ContactPerson-v1.2(2015EN)]]
-rect 493 196 583 266 [[#11117]]
+rect 503 204 593 274 [[#11117]]
-rect 471 60 595 130 [[Patient-v2.0.1(2015EN)]]
+rect 481 68 605 138 [[Patient-v2.0.1(2015EN)]]
-rect 388 622 680 672 [[#MedicationAdministrationReasonForNoAdministrationCodelist]]
+rect 398 630 690 680 [[#MedicationAdministrationReasonForNoAdministrationCodelist]]
-rect 414 528 661 598 [[#11118]]
+rect 424 536 671 606 [[#11118]]
-rect 190 502 334 572 [[#11116]]
+rect 200 510 344 580 [[#11116]]
-rect 754 191 938 261 [[MedicationPrescription-v1.0.1(2015EN)]]
+rect 764 199 948 269 [[MedicationPrescription-v1.0.1(2015EN)]]
-rect 754 304 938 374 [[MedicationPrescription-v1.0.1(2015EN)]]
+rect 764 312 948 382 [[MedicationPrescription-v1.0.1(2015EN)]]
-rect 310 60 455 130 [[HealthProfessional-v1.2.1(2015EN)]]
+rect 320 68 465 138 [[HealthProfessional-v1.2.1(2015EN)]]
-rect 189 383 334 453 [[#11115]]
+rect 199 391 344 461 [[#11115]]
-rect 189 265 334 335 [[#11125]]
+rect 199 273 344 343 [[#11125]]
-rect 464 349 609 419 [[#11120]]
+rect 474 357 619 427 [[#11120]]
-rect 726 517 926 567 [[#MedicationAdministrationStatusCodelist]]
+rect 736 525 936 575 [[#MedicationAdministrationStatusCodelist]]
-rect 754 428 899 498 [[#11114]]
+rect 764 436 909 506 [[#11114]]
-rect 189 162 334 232 [[#11864]]
+rect 199 170 344 240 [[#11864]]
 desc none
 </imagemap>
@@ Regel 133: / Regel 136: @@
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+|style="width:30px;"|Type<!--imType-->||style="width:100px;"|Id<!--imId-->||colspan="6 " style="width:140px;"|Concept<!--imConcept-->||Card.<!--imCard-->||style="width: 600px;"|Definition<!--imDefinition-->||style="width:200px;"|DefinitionCode<!--imDefinitionCode-->||style="width:200px;"|Reference<!--imReference-->
 |-style="vertical-align:top; background-color: #E3E3E3; "
 |style = "text-align:center" |[[Bestand: block.png| 20px | link=]]
@@ Regel 299: / Regel 302: @@
 |
 |}
-Columns Concept and DefinitionCode: hover over the values for more information<BR>
+Columns Concept and DefinitionCode: hover over the values for more information<!--imHover--><BR>
-For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]
+For explanation of the symbols, please see the legend page<!--imLegend--> [[Bestand:list2.png|link=Legend<!--wikiLegend-->]]
 ==Example Instances==
-''Only available in Dutch''
+''Only available in Dutch<!--noTranslation-->''
 {|class="wikitable" width="1145px" style= "font-size: 9.5pt;"
@@ Regel 387: / Regel 390: @@
 {| class="wikitable" width="60%"
 |-style='vertical-align:top; background-color: #E8D7BE;'
-|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.3
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.3
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-style="background-color: #1F497D; color: white; font-weight: bold; "
-|Conceptname
+|Conceptname<!--vsConceptName-->
-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
 |-style="vertical-align:top; "
 |Alle waarden
@@ Regel 398: / Regel 402: @@
 |2.16.840.1.113883.2.4.4.9
 |}
 === MedicationAdministrationReasonForNoAdministrationCodelist===
 {| class="wikitable" width="60%"
 |-style='vertical-align:top; background-color: #E8D7BE;'
-|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.2
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.2
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-style="background-color: #1F497D; color: white; font-weight: bold; "
-|Conceptname
+|Conceptname<!--vsConceptName-->
-|Conceptcode
+|Conceptcode<!--vsConceptCode-->
-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
-|Description
+|Description<!--vsDescription-->
 |-style="vertical-align:top; "
 |Product discontinued
@@ Regel 459: / Regel 463: @@
 |Geen informatie
 |}
 === MedicationAdministrationStatusCodelist===
 {| class="wikitable" width="60%"
 |-style='vertical-align:top; background-color: #E8D7BE;'
-|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.1
+|Valueset OID<!--vsValuesetOID-->: 2.16.840.1.113883.2.4.3.11.60.40.2.9.3.1
+|Binding<!--vsBindingTag-->:
 |}
 {| class="wikitable"  width="60% "
 |-style="background-color: #1F497D; color: white; font-weight: bold; "
-|Conceptname
+|Conceptname<!--vsConceptName-->
-|Conceptcode
+|Conceptcode<!--vsConceptCode-->
-|Codesystem name||Codesystem OID
+|Codesystem name<!--vsConceptSystemName-->||Codesystem OID<!--vsConceptSystemOID-->
-|Description
+|Description<!--vsDescription-->
 |-style="vertical-align:top; "
 |Active
@@ Regel 503: / Regel 507: @@
 |}
+==This information model in other releases<!--ftOtherReleases-->==
-==This information model in other releases==
+<!-- Hieronder wordt een transclude page aangeroepen -->
-<ul>
+{{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.9.3(EN)|2|2015}}
-<li>[[MedicationAdministration-v3.0(2016EN) | Release 2016, (Version 3.0)]]</li>
+<!-- Tot hier de transclude page -->
-</ul>
+==Information model references<!--ftReferences-->==
-==More on this information model==
+====This information model refers to<!--ftRefersTo-->====
+*[[ContactPerson-v1.2(2015EN)|ContactPerson-v1.2]]
+*[[HealthProfessional-v1.2.1(2015EN)|HealthProfessional-v1.2.1]]
+*[[MedicationPrescription-v1.0.1(2015EN)|MedicationPrescription-v1.0.1]]
+*[[Patient-v2.0.1(2015EN)|Patient-v2.0.1]]
+====This information model is used in<!--ftReferredBy-->====
+*[[FeedingTubeSystem-v1.0(2015EN)|FeedingTubeSystem-v1.0]]
+*[[Infusion-v1.0(2015EN)|Infusion-v1.0]]
+*[[PlannedCareActivityForTransfer-v1.2.1(2015EN)|PlannedCareActivityForTransfer-v1.2.1]]
+==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
 To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
-Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:
+Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
 <ul>
-<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.9.3&effectiveDate=2015-04-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
+<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2015bbr-?id=2.16.840.1.113883.2.4.3.11.60.5.4.2.9.3&effectiveDate=2015-04-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li>
-<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png|link=]]]</li>
+<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2015}}</li>
 </ul>
-This information model is also available as [[Media:nl.nfu.MedicationAdministration-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.MedicationAdministration-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
+==Downloads<!--ftDownloadTitle-->==
-==About this information==
+This information model is also available as [[Media:nl.nfu.MedicationAdministration-v1.0(2015EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.nfu.MedicationAdministration-v1.0(2015EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<!--ftDownloads-->
-The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
+==About this information<!--ftHeader2-->==
-Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR>
+The information in this wikipage is based on<!--ftInfoBase--> ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR>
-This page is generated on 24/01/2018 17:12:42 <BR>
+Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
+This page is generated on 24/12/2018 12:30:04 with ZibExtraction v. 3.0.6932.1989<!--ftDate--> <BR>
 -----
-<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div>
+<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2015(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2015(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

MedicationAdministration-v1.0(2015EN): verschil tussen versies

Huidige versie van 24 dec 2018 om 12:15

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Information Model

Example Instances

References

Valuesets

AdministrationRouteOfAdministrationCodelist