MedicationAdministration-v1.0(2015EN): verschil tussen versies
(Nieuwe pagina aangemaakt met '==General information== Name: '''nl.nfu.MedicationAdministration''' link=MedicatieToediening-v1.0(2015NL)<BR> Version: '''1.0''' <br> HCIM Sta...') |
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Regel 3: | Regel 3: | ||
Version: '''1.0''' <br> | Version: '''1.0''' <br> | ||
HCIM Status:Final<br> | HCIM Status:Final<br> | ||
Release: '''2015''' <br> | |||
Release status: Published<br> | Release status: Published<br> | ||
Release date: 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_2015(EN)]] [[HCIM_Release_2015(EN) |Back to HCIM list ]]</div> | ||
Regel 111: | Regel 111: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:MedicationAdministration-v1.0Model(EN).png | center | |||
rect 161 591 363 641 [[#AdministrationRouteOfAdministrationCodelist]] | |||
rect 623 60 747 130 [[ContactPerson-v1.2(2015EN)]] | |||
rect 493 196 583 266 [[#11117]] | |||
rect 471 60 595 130 [[Patient-v2.0.1(2015EN)]] | |||
rect 388 622 680 672 [[#MedicationAdministrationReasonForNoAdministrationCodelist]] | |||
rect 414 528 661 598 [[#11118]] | |||
rect 190 502 334 572 [[#11116]] | |||
rect 754 191 938 261 [[MedicationPrescription-v1.0.1(2015EN)]] | |||
rect 754 304 938 374 [[MedicationPrescription-v1.0.1(2015EN)]] | |||
rect 310 60 455 130 [[HealthProfessional-v1.2.1(2015EN)]] | |||
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 117: | Regel 135: | ||
|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 building block. This root concept contains all data elements of the MedicationAdministration building block. | |Root concept of the MedicationAdministration building block. This root concept contains all data elements of the MedicationAdministration building block. | ||
Regel 125: | Regel 143: | ||
| | | | ||
|-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]]ProductToBeAdministered::Product</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11110 Title="NL: ToedieningsProduct::Product">[[Bestand: arrowright.png | 10px | link=]]ProductToBeAdministered::Product</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 138: | Regel 156: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicationPrescription-v1.0.1(2015EN) |MedicationPrescription]] | |[[Bestand: block.png | link=MedicationPrescription-v1.0.1(2015EN)]]||[[MedicationPrescription-v1.0.1(2015EN) |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 151: | Regel 169: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[MedicationPrescription-v1.0.1(2015EN) |MedicationPrescription]] | |[[Bestand: block.png | link=MedicationPrescription-v1.0.1(2015EN)]]||[[MedicationPrescription-v1.0.1(2015EN) |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 174: | Regel 192: | ||
{| | {| | ||
|- | |- | ||
|[[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 187: | Regel 205: | ||
{| | {| | ||
|- | |- | ||
|[[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 199: | Regel 217: | ||
| | | | ||
|-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 208: | Regel 226: | ||
| | | | ||
|-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 218: | Regel 236: | ||
{| | {| | ||
|- | |- | ||
|[[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 230: | Regel 248: | ||
| | | | ||
|-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 241: | Regel 259: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[HealthProfessional-v1.2.1(2015EN) |HealthProfessional]] | |[[Bestand: block.png | link=HealthProfessional-v1.2.1(2015EN)]]||[[HealthProfessional-v1.2.1(2015EN) |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 255: | Regel 273: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[Patient-v2.0.1(2015EN) |Patient]] | |[[Bestand: block.png | link=Patient-v2.0.1(2015EN)]]||[[Patient-v2.0.1(2015EN) |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 269: | Regel 287: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: block.png]]||[[ContactPerson-v1.2(2015EN) |ContactPerson]] | |[[Bestand: block.png | link=ContactPerson-v1.2(2015EN)]]||[[ContactPerson-v1.2(2015EN) |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]]Explanation</span> | |colspan ="5" style ="padding-left: 0px"|<span Id=11864 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Explanation</span> | ||
|0..1 | |0..1 | ||
|Comments on administering the medication. | |Comments on administering the medication. | ||
Regel 289: | Regel 307: | ||
{|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 303: | Regel 321: | ||
| 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 311: | Regel 329: | ||
| 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 323: | Regel 341: | ||
{|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 337: | Regel 355: | ||
| 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 345: | Regel 363: | ||
| 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 486: | Regel 504: | ||
==This information model in other releases== | |||
<ul> | |||
<li>[[MedicationAdministration-v3.0(2016EN) | Release 2016, (Version 3.0)]]</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--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=StructureDefinition [[File:fhir.png|link=]]]</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=]] | 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=]] | ||
==About this information== | ==About this information== | ||
The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <BR> | The information in this wikipage is based on ''Registratie aan de bron'' publication 2015 including errata dd. 16-07-2015 <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 17:12:42 <BR> | ||
----- | ----- | ||
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Versie van 25 jan 2018 00:20
General information
Name: nl.nfu.MedicationAdministration
Version: 1.0
HCIM Status:Final
Release: 2015
Release status: Published
Release date: 1-4-2015
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
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. |
| |||||||||
NL-CM:9.3.3 | Prescription::MedicationPrescription | 0..1 | The agreement or order mandating the administration. |
| |||||||||
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:
|
| |||||||||
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. |
| |||||||||
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,...). |
| |||||||||
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. |
| |||||||||
NL-CM:9.3.11 | Patient | (0..1) | The patient who administered the product. |
| |||||||||
NL-CM:9.3.12 | Caregiver::Contact | (0..1) | The caregiver who administered the product. |
| |||||||||
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 |
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 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 24/01/2018 17:12:42