MedicationAdministration-v3.0(2016EN): verschil tussen versies
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Regel 3: | Regel 3: | ||
Version: '''3.0''' <br> | Version: '''3.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2016''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 1-5-2016 | |||
----- | ----- | ||
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> | <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div> | ||
Regel 116: | Regel 116: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:MedicationAdministration-v3.0Model(EN).png | center | |||
rect 161 591 363 641 [[#AdministrationRouteOfAdministrationCodelist]] | |||
rect 623 60 747 130 [[ContactPerson-v3.0(2016EN)]] | |||
rect 493 196 583 266 [[#11117]] | |||
rect 471 60 595 130 [[Patient-v3.0(2016EN)]] | |||
rect 388 622 680 672 [[#MedicationAdministrationReasonForNoAdministrationCodelist]] | |||
rect 414 528 661 598 [[#11118]] | |||
rect 190 502 334 572 [[#11116]] | |||
rect 754 191 938 261 [[MedicationPrescription-v3.0(2016EN)]] | |||
rect 754 304 938 374 [[MedicationPrescription-v3.0(2016EN)]] | |||
rect 310 60 455 130 [[HealthProfessional-v3.0(2016EN)]] | |||
rect 189 383 334 453 [[#11115]] | |||
rect 189 265 334 335 [[#11125]] | |||
rect 464 349 609 419 [[#11120]] | |||
rect 726 517 926 567 [[#MedicationAdministrationStatusCodelist]] | |||
rect 754 428 899 498 [[#11114]] | |||
rect 189 162 334 232 [[#11864]] | |||
desc none | |||
</imagemap> | |||
<BR> | <BR> | ||
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" | ||
Regel 122: | Regel 140: | ||
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | |style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference | ||
|-style="vertical-align:top; background-color: #E3E3E3; " | |-style="vertical-align:top; background-color: #E3E3E3; " | ||
|style = "text-align:center" |[[Bestand: block.png| 20px]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:9.3.1 | ||NL-CM:9.3.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Title="NL: MedicatieToediening">[[Bestand: arrowdown.png | 10px]]MedicationAdministration</span> | |colspan ="6" style ="padding-left: 0px"|<span Id=11120 Title="NL: MedicatieToediening">[[Bestand: arrowdown.png | 10px | link=]]MedicationAdministration</span> | ||
| | | | ||
|Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model. | |Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model. | ||
Regel 130: | Regel 148: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:9.3.2 | ||NL-CM:9.3.2 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ToedieningsProduct::Product">[[Bestand: arrowright.png | 10px]]MedicationUseStatusCodelist</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11110 Title="NL: ToedieningsProduct::Product">[[Bestand: arrowright.png | 10px | link=]]MedicationUseStatusCodelist</span> | ||
|1 | |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. | |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. | ||
Regel 143: | Regel 161: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicationPrescription-v3.0(2016EN) |MedicationPrescription]] | |[[Bestand: block.png | link=MedicationPrescription-v3.0(2016EN)]]||[[MedicationPrescription-v3.0(2016EN) |MedicationPrescription]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:9.3.3 | ||NL-CM:9.3.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Voorschrift::MedicatieVoorschrift">[[Bestand: arrowright.png | 10px]]Prescription::MedicationPrescription</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11123 Title="NL: Voorschrift::MedicatieVoorschrift">[[Bestand: arrowright.png | 10px | link=]]Prescription::MedicationPrescription</span> | ||
|0..1 | |0..1 | ||
|The agreement or order mandating the administration. | |The agreement or order mandating the administration. | ||
Regel 156: | Regel 174: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicationPrescription-v3.0(2016EN) |MedicationPrescription]] | |[[Bestand: block.png | link=MedicationPrescription-v3.0(2016EN)]]||[[MedicationPrescription-v3.0(2016EN) |MedicationPrescription]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:9.3.4 | ||NL-CM:9.3.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: MedicatieToedieningStatus">[[Bestand: arrowright.png | 10px]]MedicationAdministrationStatus</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11114 Title="NL: MedicatieToedieningStatus">[[Bestand: arrowright.png | 10px | link=]]MedicationAdministrationStatus</span> | ||
|1 | |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’. | |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’. | ||
Regel 179: | Regel 197: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#MedicationAdministrationStatusCodelist|MedicationAdministrationStatusCodelist]] | |[[Bestand: List2.png | link=#MedicationAdministrationStatusCodelist]]||[[#MedicationAdministrationStatusCodelist|MedicationAdministrationStatusCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:9.3.5 | ||NL-CM:9.3.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: MedicatieToedieningRedenVanNietToedienen">[[Bestand: arrowright.png | 10px]]MedicationAdministrationReasonForNoAdministration</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11118 Title="NL: MedicatieToedieningRedenVanNietToedienen">[[Bestand: arrowright.png | 10px | link=]]MedicationAdministrationReasonForNoAdministration</span> | ||
|0..1 | |0..1 | ||
|Reason why the medication was not taken or administered. Here, you can choose to enter text or one of the codes. | |Reason why the medication was not taken or administered. Here, you can choose to enter text or one of the codes. | ||
Regel 192: | Regel 210: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#MedicationAdministrationReasonForNoAdministrationCodelist|MedicationAdministrationReasonForNoAdministrationCodelist]] | |[[Bestand: List2.png | link=#MedicationAdministrationReasonForNoAdministrationCodelist]]||[[#MedicationAdministrationReasonForNoAdministrationCodelist|MedicationAdministrationReasonForNoAdministrationCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: TS.png| 16px]] | |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]] | ||
||NL-CM:9.3.6 | ||NL-CM:9.3.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ToedieningsDatumTijd">[[Bestand: arrowright.png | 10px]]AdministrationDateTime</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11125 Title="NL: ToedieningsDatumTijd">[[Bestand: arrowright.png | 10px | link=]]AdministrationDateTime</span> | ||
|1 | |1 | ||
|The date and time at which the medication was taken or administered. | |The date and time at which the medication was taken or administered. | ||
Regel 204: | Regel 222: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: PQ.png| 16px]] | |style = "text-align:center" |[[Bestand: PQ.png| 16px | link=]] | ||
||NL-CM:9.3.7 | ||NL-CM:9.3.7 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: ToegediendeHoeveelheid">[[Bestand: arrowright.png | 10px]]AdministeredAmount</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11115 Title="NL: ToegediendeHoeveelheid">[[Bestand: arrowright.png | 10px | link=]]AdministeredAmount</span> | ||
|1 | |1 | ||
|Amount of the administered product. | |Amount of the administered product. | ||
Regel 213: | Regel 231: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: CD.png| 16px]] | |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]] | ||
||NL-CM:9.3.8 | ||NL-CM:9.3.8 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toedieningsweg">[[Bestand: arrowright.png | 10px]]RouteOfAdministration</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11116 Title="NL: Toedieningsweg">[[Bestand: arrowright.png | 10px | link=]]RouteOfAdministration</span> | ||
|0..1 | |0..1 | ||
|The route through which the medication is administered (oral, nasal, intravenous,...). | |The route through which the medication is administered (oral, nasal, intravenous,...). | ||
Regel 223: | Regel 241: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png]]||[[#AdministrationRouteOfAdministrationCodelist|AdministrationRouteOfAdministrationCodelist]] | |[[Bestand: List2.png | link=#AdministrationRouteOfAdministrationCodelist]]||[[#AdministrationRouteOfAdministrationCodelist|AdministrationRouteOfAdministrationCodelist]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: #E8D7BE; " | |-style="vertical-align:top; background-color: #E8D7BE; " | ||
|style = "text-align:center" |[[Bestand: folder.png| 16px]] | |style = "text-align:center" |[[Bestand: folder.png| 16px | link=]] | ||
||NL-CM:9.3.9 | ||NL-CM:9.3.9 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toediener">[[Bestand: arrowdown.png | 10px]]Administrator</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11117 Title="NL: Toediener">[[Bestand: arrowdown.png | 10px | link=]]Administrator</span> | ||
|0..1 | |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. | |Container of the Administrator concept. This container contains all data elements of the Administrator concept. The concept describes the person who administered the product. | ||
Regel 235: | Regel 253: | ||
| | | | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:9.3.10 | ||NL-CM:9.3.10 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Zorgverlener">[[Bestand: arrowright.png | 10px]]HealthcareProvider</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11124 Title="NL: Zorgverlener">[[Bestand: arrowright.png | 10px | link=]]HealthcareProvider</span> | ||
|(0..1) | |(0..1) | ||
|The healthcare provider who administered the product. | |The healthcare provider who administered the product. | ||
Regel 246: | Regel 264: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v3.0(2016EN) |HealthProfessional]] | |[[Bestand: block.png | link=HealthProfessional-v3.0(2016EN)]]||[[HealthProfessional-v3.0(2016EN) |HealthProfessional]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:9.3.11 | ||NL-CM:9.3.11 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Patiënt">[[Bestand: arrowright.png | 10px]]Patient</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11111 Title="NL: Patiënt">[[Bestand: arrowright.png | 10px | link=]]Patient</span> | ||
|(0..1) | |(0..1) | ||
|The patient who administered the product. | |The patient who administered the product. | ||
Regel 260: | Regel 278: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Patient-v3.0(2016EN) |Patient]] | |[[Bestand: block.png | link=Patient-v3.0(2016EN)]]||[[Patient-v3.0(2016EN) |Patient]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]] | |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]] | ||
||NL-CM:9.3.12 | ||NL-CM:9.3.12 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: none;" | | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="4" style ="padding-left: 0px"|<span Title="NL: Mantelzorger::Contactpersoon">[[Bestand: arrowright.png | 10px]]Caregiver::Contact</span> | |colspan ="4" style ="padding-left: 0px"|<span Id=11119 Title="NL: Mantelzorger::Contactpersoon">[[Bestand: arrowright.png | 10px | link=]]Caregiver::Contact</span> | ||
|(0..1) | |(0..1) | ||
|The caregiver who administered the product. | |The caregiver who administered the product. | ||
Regel 274: | Regel 292: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[ContactPerson-v3.0(2016EN) |ContactPerson]] | |[[Bestand: block.png | link=ContactPerson-v3.0(2016EN)]]||[[ContactPerson-v3.0(2016EN) |ContactPerson]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
|style = "text-align:center" |[[Bestand: ST.png| 16px]] | |style = "text-align:center" |[[Bestand: ST.png| 16px | link=]] | ||
||NL-CM:9.3.13 | ||NL-CM:9.3.13 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Title="NL: Toelichting">[[Bestand: arrowright.png | 10px]]Comment</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11864 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span> | ||
|0..1 | |0..1 | ||
|Comments on administering the medication. | |Comments on administering the medication. | ||
Regel 294: | Regel 312: | ||
{|class="wikitable" width="1145px" style= "font-size: 9.5pt;" | {|class="wikitable" width="1145px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>ToedieningsProduct</b></font> | ||
| style="background-color: #1F497D; width: 12%; color | | style="background-color: #1F497D; width: 12%; "|<font color=#FFFFFF><b>Toedieningsweg</b></font> | ||
| style="background-color: #1F497D; width: 10%; color | | style="background-color: #1F497D; width: 10%; "|<font color=#FFFFFF><b>ToegediendeHoeveelheid</b></font> | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>ToedieningsTijdstip</b></font> | ||
| style="background-color: #1F497D; width: 13%; color | | style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>Medicatie</b><BR></font><font color=#FFFFFF><b>ToedieningStatus</b></font> | ||
| style="background-color: #1F497D; width: 18%; color | | style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>MedicatieToediening</b><BR></font><font color=#FFFFFF><b>RedenVanNietToedienen</b></font> | ||
| style="background-color: #1F497D; width: 18%; color | | style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>Voorschrift</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #548DD4; width: 15%; color | | style="background-color: #548DD4; width: 15%; "|<font color=#FFFFFF><b>ProductNaam</b></font> | ||
| style="background-color: #548DD4; width: 12%; "| | | style="background-color: #548DD4; width: 12%; "| | ||
| style="background-color: #548DD4; width: 10%; "| | | style="background-color: #548DD4; width: 10%; "| | ||
Regel 308: | Regel 326: | ||
| style="background-color: #548DD4; width: 13%; "| | | style="background-color: #548DD4; width: 13%; "| | ||
| style="background-color: #548DD4; width: 18%; "| | | style="background-color: #548DD4; width: 18%; "| | ||
| style="background-color: #548DD4; width: 18%; color | | style="background-color: #548DD4; width: 18%; "|<font color=#FFFFFF><b>RedenVanVoorschrijven</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #D9D9D9; width: 15%; "| | | style="background-color: #D9D9D9; width: 15%; "| | ||
Regel 316: | Regel 334: | ||
| style="background-color: #D9D9D9; width: 13%; "| | | style="background-color: #D9D9D9; width: 13%; "| | ||
| style="background-color: #D9D9D9; width: 18%; "| | | style="background-color: #D9D9D9; width: 18%; "| | ||
| style="background-color: #D9D9D9; width: 18% | | style="background-color: #D9D9D9; width: 18%; "|<b>Probleem</b> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 15%; "|Paracetamol tablet 500 mg | | style="width: 15%; "|Paracetamol tablet 500 mg | ||
Regel 328: | Regel 346: | ||
{|class="wikitable" width="1145px" style= "font-size: 9.5pt;" | {|class="wikitable" width="1145px" style= "font-size: 9.5pt;" | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>ToedieningsProduct</b></font> | ||
| style="background-color: #1F497D; width: 12%; color | | style="background-color: #1F497D; width: 12%; "|<font color=#FFFFFF><b>Toedieningsweg</b></font> | ||
| style="background-color: #1F497D; width: 10%; color | | style="background-color: #1F497D; width: 10%; "|<font color=#FFFFFF><b>ToegediendeHoeveelheid</b></font> | ||
| style="background-color: #1F497D; width: 15%; color | | style="background-color: #1F497D; width: 15%; "|<font color=#FFFFFF><b>ToedieningsTijdstip</b></font> | ||
| style="background-color: #1F497D; width: 13%; color | | style="background-color: #1F497D; width: 13%; "|<font color=#FFFFFF><b>Medicatie</b><BR></font><font color=#FFFFFF><b>ToedieningStatus</b></font> | ||
| style="background-color: #1F497D; width: 18%; color | | style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>MedicatieToediening</b><BR></font><font color=#FFFFFF><b>RedenVanNietToedienen</b></font> | ||
| style="background-color: #1F497D; width: 18%; color | | style="background-color: #1F497D; width: 18%; "|<font color=#FFFFFF><b>Voorschrift</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #548DD4; width: 15%; color | | style="background-color: #548DD4; width: 15%; "|<font color=#FFFFFF><b>ProductNaam</b></font> | ||
| style="background-color: #548DD4; width: 12%; "| | | style="background-color: #548DD4; width: 12%; "| | ||
| style="background-color: #548DD4; width: 10%; "| | | style="background-color: #548DD4; width: 10%; "| | ||
Regel 342: | Regel 360: | ||
| style="background-color: #548DD4; width: 13%; "| | | style="background-color: #548DD4; width: 13%; "| | ||
| style="background-color: #548DD4; width: 18%; "| | | style="background-color: #548DD4; width: 18%; "| | ||
| style="background-color: #548DD4; width: 18%; color | | style="background-color: #548DD4; width: 18%; "|<font color=#FFFFFF><b>RedenVanVoorschrijven</b></font> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="background-color: #D9D9D9; width: 15%; "| | | style="background-color: #D9D9D9; width: 15%; "| | ||
Regel 350: | Regel 368: | ||
| style="background-color: #D9D9D9; width: 13%; "| | | style="background-color: #D9D9D9; width: 13%; "| | ||
| style="background-color: #D9D9D9; width: 18%; "| | | style="background-color: #D9D9D9; width: 18%; "| | ||
| style="background-color: #D9D9D9; width: 18% | | style="background-color: #D9D9D9; width: 18%; "|<b>Probleem</b> | ||
|-style=vertical-align:top; | |-style=vertical-align:top; | ||
| style="width: 15%; "|Glucose/NaCl 2,5/0,45% infvlst zak 500ml | | style="width: 15%; "|Glucose/NaCl 2,5/0,45% infvlst zak 500ml | ||
Regel 491: | Regel 509: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[MedicationAdministration-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li> | |||
</ul> | |||
==More on this information model== | ==More on this information model== | ||
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: | |||
<ul> | |||
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.9.3&effectiveDate=2016-05-01T00:00:00&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=StructureDefinition [[File:fhir.png|link=]]]</li> | |||
</ul> | |||
This information model is also available as [[Media:nl.zorg.MedicationAdministration-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MedicationAdministration-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | This information model is also available as [[Media:nl.zorg.MedicationAdministration-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.MedicationAdministration-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on Release summer 2016 <BR> | The information in this wikipage is based on Release summer 2016 <BR> | ||
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR> | ||
This page is generated on | This page is generated on 24/01/2018 23:30:21 <BR> | ||
----- | ----- | ||
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Versie van 25 jan 2018 01:12
General information
Name: nl.zorg.MedicationAdministration
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016
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 | PM |
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.zorg.MedicatieToediening |
DCM::PublicationDate | 1-5-2016 |
DCM::PublicationStatus | Published |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 1-4-2015 |
DCM::Superseeds | nl.nfu.MedicatieToediening-v1.0 |
DCM::Version | 3.0 |
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 |
Publicatieversie 3.0 (01-05-2016)
.
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-v3.0Model(EN).png](/images/3/38/MedicationAdministration-v3.0Model%28EN%29.png)
Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | |||||||
![]() |
NL-CM:9.3.1 | ![]() |
Root concept of the MedicationAdministration information model. This root concept contains all data elements of the MedicationAdministration information model. | ||||||||||
![]() |
NL-CM:9.3.2 | ![]() |
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. |
| ||||||||
![]() |
NL-CM:9.3.3 | ![]() |
0..1 | The agreement or order mandating the administration. |
| ||||||||
![]() |
NL-CM:9.3.4 | ![]() |
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:
|
| ||||||||
![]() |
NL-CM:9.3.5 | ![]() |
0..1 | Reason why the medication was not taken or administered. Here, you can choose to enter text or one of the codes. |
| ||||||||
![]() |
NL-CM:9.3.6 | ![]() |
1 | The date and time at which the medication was taken or administered. | |||||||||
![]() |
NL-CM:9.3.7 | ![]() |
1 | Amount of the administered product. | |||||||||
![]() |
NL-CM:9.3.8 | ![]() |
0..1 | The route through which the medication is administered (oral, nasal, intravenous,...). |
| ||||||||
![]() |
NL-CM:9.3.9 | ![]() |
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 | ![]() |
(0..1) | The healthcare provider who administered the product. |
| ||||||||
![]() |
NL-CM:9.3.11 | ![]() |
(0..1) | The patient who administered the product. |
| ||||||||
![]() |
NL-CM:9.3.12 | ![]() |
(0..1) | The caregiver who administered the product. |
| ||||||||
![]() |
NL-CM:9.3.13 | ![]() |
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 |
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 |
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 |
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
More on this information model
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
This information model is also available as pdf file or as spreadsheet
About this information
The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage
This page is generated on 24/01/2018 23:30:21