MedicationUse2-v3.0(2024EN): verschil tussen versies

Huidige versie van 27 mei 2025 om 16:55

General information

Name: nl.zorg.MedicationUse2
Version: 3.0
HCIM Status:Final
Release: 2024
Release status: Published
Release date: 24-04-2024

Back to HCIM list

Metadata

DCM::CoderList	Projectgroep Medicatieproces
DCM::ContactInformation.Address
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom
DCM::ContentAuthorList	Projectgroep Medicatieproces
DCM::CreationDate	1-2-2017
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.9.11
DCM::KeywordList	Medicatie, Gebruik
DCM::LifecycleStatus	Final
DCM::ModelerList	Architectuurgroep Registratie aan de Bron
DCM::Name	nl.zorg.MedicatieGebruik2
DCM::PublicationDate	24-04-2024
DCM::PublicationStatus	Published
DCM::ReviewerList	Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate	09-04-2024
DCM::Supersedes	nl.zorg.MedicatieGebruik2-v2.1
DCM::Version	3.0
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (04-09-2017)

Publicatieversie 1.0.1 (31-12-2017)

ZIB-618	Hernoemen Verstrekking naar Medicatieverstrekking
ZIB-643	Kleine tekstuele verbeteringen

Publicatieversie 1.1 (31-01-2020)

ZIB-906	Typo engelse term medicatie gebruik zib
ZIB-888	terminologie reden voor stoppen medicatie verbeteren en SNOMED coderingen zibs met meditatieproces gelijktrekken

Publicatieversie 1.1.1 (01-09-2020)

ZIB-911

Correction English "Farmaceutical"

Publicatieversie 1.2 (01-12-2021)

ZIB-1261	Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes
ZIB-1454	Onduidelijkheid codes bij StopType codelijsten
ZIB-1575	Deprecated termen en waardelijsten uit de prepublicatie halen

Publicatieversie 2.0 (10-06-2022)

ZIB-1685	Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met'
ZIB-1725	Verzameling errata bouwsteen Medicatiegebruik

Publicatieversie 2.1 (15-10-2023)

ZIB-1965	Voorbeeld medicatiegebruik gebruiksduur: maand niet toegestaan
ZIB-1974	Suggested typo and textual improvements

Publicatieversie 3.0 (15-04-2024)

ZIB-2091	MGB/RedenWijzigenOfStoppenGebruik: toevoegen 'loopt in andere medicamenteuze behandeling'
ZIB-2092	Kardinaliteit gebruiksperiode
ZIB-2132	2023-1 Verwijzingen naar FarmaceutischProduct gebruiken verkeerde NL-CM id
ZIB-2133	2023-1 Verwijzingen naar Gebruiksinstructie gebruiken verkeerde NL-CM id
ZIB-2152	MedicatieGebruik: gebruiksindicator SNOMED koppeling
ZIB-2153	MedicatieGebruik: RedenGebruik SNOMED koppeling mist

Concept

MedicationUse is a statement on the historic, current or intended use of a certain medicine.

Purpose

The goal of the medication use is to provide insight into the patient’s pattern of use.

Information Model

Type

Id

Concept

Card.

Definition

DefinitionCode

Reference

NL-CM:9.11.21338

MedicationUse

Root concept of the MedicationUse information model. This root concept contains all data elements of the MedicationUse information model.

422979000 Medication regimen behavior finding

NL-CM:9.11.23290

Prescriber::HealthProfessional

0..1

The health professional that entered the medication agreement with the patient.

HealthProfessional

NL-CM:9.11.21339

ProductUsed::PharmaceuticalProduct

1

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

In principle, this will be the prescribed product, but the product used may differ from the prescribed product.

PharmaceuticalProduct

NL-CM:9.11.22504

InstructionsForUse

0..1

Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or that the patient followed.

InstructionsForUse

NL-CM:9.11.22398

MedicationUseDateTime

1

Date on which this use is entered.

NL-CM:9.11.22663

PeriodOfUse::TimeInterval

1

Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded.

Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). Duration: The intended duration of use. E.g. 5 days or 8 weeks. It is not allowed to indicate the duration in months, because different months have a variable duration in days. End date: The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up until and including', the submission of time is always mandatory for the end date.

TimeInterval

NL-CM:9.11.22492

AsAgreedIndicator

0..1

Is the medicine used as outlined in the medication agreement?

112221000146107 Patient takes medication as prescribed

NL-CM:9.11.22399

UseIndicator

1

Is this medicine used or not?

NL-CM:9.11.22491

ReasonForUse

0..1

The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.

11611000146100 Reason for taking medication

NL-CM:9.11.23132

MedicationUseStopType

0..1

Stop type, the manner in which this medication is discontinued (temporary or definitive).

MedicationUseStopTypeCodeList

NL-CM:9.11.22493

ReasonModificationOrDiscontinuationOfUse

0..*

Reason for changing or discontinuing use of medication.

153861000146102 Reason for change of medication usage

ReasonModificationOrDiscontinuationOfUseCodeList

NL-CM:9.11.21624

Comment

0..1

Comments on the medication use.

48767-8 Annotation comment [Interpretation] Narrative

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

Example Instances

Only available in Dutch

MedicatieGebruik DatumTijd	GebruikIndicator	VolgensAfspraak Indicator	Medicatiegebruik Stoptype	Gebruiksperiode			Gebruiksproduct
				Ingangsdatum	Einddatum	Gebruiksduur	ProductCode

3-6-2014 16:19:07	Ja			Mei 2014		4 weken	Paracetamol tablet 500 mg
11-9-2012 17:21:00	Ja	Ja		01-09-12	05-09-12		Pantoprazol injpdr 40 mg fl
19-9-2014 4:12:11	Nee	Nee	Definitief	17-09-14			Dalteparine 2500 injvlst 12.500 ie/ml wwsp 0,2ml

RedenGebruik	RedenWijzigen OfStoppen Gebruik	GebruiksInstructie
		Omschrijving	ToedieningsWeg	Aanvullende instructie	Doseerinstructie
					Doseerduur	Dosering\| Keerdosis	Toedieningsschema \|Frequentie \|Interval \|Toedientijd \|Weekdag \|Dagdeel
Pijn		In de maand mei heb ik regelmatig paracetamol gebruikt.
Ulcusprofylaxe		Vanaf 1 september 2012 gedurende 5 dagen 1x per dag om 8uur 40 mg (=1 st)	iv			40 mg (=1 st)	1x per dag om 8.00 uur
	(Mogelijke) bijwerking	Tijdelijk gestopt vanwege toenemende bijwerkingen: duizeligheid en misselijkheid.	subcutaan			2500 IE	1x per dag om 18.00 uur

Valuesets

MedicationUseStopTypeCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.1	Binding: Extensible	Status: Active

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Drug therapy temporarily stopped	113381000146106	SNOMED CT	2.16.840.1.113883.6.96	Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie).
Drug therapy definitely stopped	113371000146109	SNOMED CT	2.16.840.1.113883.6.96	Het staken van een bestaande medicamenteuze behandeling.

Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.

ReasonModificationOrDiscontinuationOfUseCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2	Binding: Extensible	Status: Active

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Medication commenced	266709005	SNOMED CT	2.16.840.1.113883.6.96	Starten medicamenteuze behandeling [DEPRECATED]
Administration of medication contraindicated	438833006	SNOMED CT	2.16.840.1.113883.6.96	Contra-indicatie
Medication interaction	79899007	SNOMED CT	2.16.840.1.113883.6.96	Interactie
Adverse reaction to drug	62014003	SNOMED CT	2.16.840.1.113883.6.96	Overgevoeligheid
Hypersensitivity condition	473010000	SNOMED CT	2.16.840.1.113883.6.96	Overgevoeligheid [DEPRECATED]
Lack of drug action	58848006	SNOMED CT	2.16.840.1.113883.6.96	Geen of onvoldoende effect
Drug action too strong	112251000146103	SNOMED CT	2.16.840.1.113883.6.96	Te sterk effect
At increased risk of medication side effect	704417003	SNOMED CT	2.16.840.1.113883.6.96	(Mogelijke) bijwerking [DEPRECATED]
Insufficient route of drug administration	112191000146101	SNOMED CT	2.16.840.1.113883.6.96	Toedieningsweg voldoet niet
Drug treatment not indicated	183966005	SNOMED CT	2.16.840.1.113883.6.96	Indicatie vervallen
Medication management changed	112751000146109	SNOMED CT	2.16.840.1.113883.6.96	Beleidswijziging
Admission to establishment	305335007	SNOMED CT	2.16.840.1.113883.6.96	Opname
Patient requested modification of treatment	159711000146106	SNOMED CT	2.16.840.1.113883.6.96	verzoek van zorgafnemer om behandeling te wijzigen Verzoek van zorgafnemer om behandeling te wijzigen
Patient requested treatment	184003006	SNOMED CT	2.16.840.1.113883.6.96	Wens patiënt [DEPRECATED]
Patient takes medication as prescribed	112221000146107	SNOMED CT	2.16.840.1.113883.6.96	Medicatiegebruik van patiënt volgens afspraak
Patient agreed with treatment	112211000146102	SNOMED CT	2.16.840.1.113883.6.96	Volgens afspraak [DEPRECATED]
Treatment of previous care provider continued	112261000146100	SNOMED CT	2.16.840.1.113883.6.96	Hervatten beleid vorige voorschrijver
Change in laboratory test finding	160131000146104	SNOMED CT	2.16.840.1.113883.6.96	Verandering in labwaarde
Drug not available - out of stock	182856006	SNOMED CT	2.16.840.1.113883.6.96	Geneesmiddel niet voorradig
Incorrect registration of medication	159691000146109	SNOMED CT	2.16.840.1.113883.6.96	Foutieve registratie van medicatie
Planned procedure	405613005	SNOMED CT	2.16.840.1.113883.6.96	Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
Double registration of medication treatment	180011000146107	SNOMED CT	2.16.840.1.113883.6.96	Loopt in andere medicamenteuze behandeling

Value Other (OTH) from codesystem NullFlavor (OID: 2.16.840.1.113883.5.1008) is allowed in this valueset.

This information model in other releases

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 Release 2024
SNOMED CT and LOINC codes are based on:

SNOMED Clinical Terms versie: 20250430 [R] (april 2025-editie)
LOINC version 2.77

Conditions for use are located on the mainpage
This page is generated on 27/05/2025 13:59:25 with ZibExtraction v. 9.5.9242.40707

Back to HCIM list

@@ Regel 8: / Regel 8: @@
 Release<!--hdPublication-->: '''2024''' <br>
 Release status<!--hdPublicationStatus-->: Published<br>
-Release date<!--hdPublicationDate-->: 23-04-2025
+Release date<!--hdPublicationDate-->: 24-04-2024
 <!-- Aanroep Errata transclude page -->
 {{ErrataEN<!--hdErrata-->|2024|{{PAGENAME}}}}
@@ Regel 50: / Regel 50: @@
 |style="width:250px; "|DCM::Name||nl.zorg.MedicatieGebruik2
 |-
-|style="width:250px; "|DCM::PublicationDate||23-04-2025
+|style="width:250px; "|DCM::PublicationDate||24-04-2024
 |-
 |style="width:250px; "|DCM::PublicationStatus||Published
@@ Regel 102: / Regel 102: @@
 |-
 |style="width:75px; "|[[ZIBIssues500_2#ZIB-1261 | ZIB-1261 ]]
-|Geen informatie
+|Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes
 |-
 |style="width:75px; "|[[ZIBIssues500_2#ZIB-1454 | ZIB-1454 ]]
-|Geen informatie
+|Onduidelijkheid codes bij StopType codelijsten
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1575 | ZIB-1575 ]]
-|Geen informatie
+|Deprecated termen en waardelijsten uit de prepublicatie halen
 |}
@@ Regel 115: / Regel 115: @@
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1685 | ZIB-1685 ]]
-|Geen informatie
+|Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met'
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1725 | ZIB-1725 ]]
-|Geen informatie
+|Verzameling errata bouwsteen Medicatiegebruik
 |}
@@ Regel 125: / Regel 125: @@
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1965 | ZIB-1965 ]]
-|Geen informatie
+|Voorbeeld medicatiegebruik gebruiksduur: maand niet toegestaan
 |-
 |style="width:75px; "|[[ZIBIssues500_3#ZIB-1974 | ZIB-1974 ]]
-|Geen informatie
+|Suggested typo and textual improvements
 |}
@@ Regel 135: / Regel 135: @@
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2091 | ZIB-2091 ]]
-|Geen informatie
+|MGB/RedenWijzigenOfStoppenGebruik: toevoegen 'loopt in andere medicamenteuze behandeling'
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2092 | ZIB-2092 ]]
-|Geen informatie
+|Kardinaliteit gebruiksperiode
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2132 | ZIB-2132 ]]
-|Geen informatie
+|2023-1 Verwijzingen naar FarmaceutischProduct gebruiken verkeerde NL-CM id
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2133 | ZIB-2133 ]]
-|Geen informatie
+|2023-1 Verwijzingen naar Gebruiksinstructie gebruiken verkeerde NL-CM id
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2152 | ZIB-2152 ]]
-|Geen informatie
+|MedicatieGebruik: gebruiksindicator SNOMED koppeling
 |-
 |style="width:75px; "|[[ZIBIssues500_4#ZIB-2153 | ZIB-2153 ]]
-|Geen informatie
+|MedicatieGebruik: RedenGebruik SNOMED koppeling mist
 |}
 </div>
@@ Regel 170: / Regel 170: @@
 rect 480 43 592 107 [[InstructionsForUse-v3.1(2024EN)]]
 rect 776 188 887 252 [[#1604]]
-rect 330 43 442 107 [[PharmaceuticalProduct-v2.2.1(2024EN)]]
+rect 330 43 442 107 [[PharmaceuticalProduct-v2.3(2024EN)]]
 rect 775 45 887 115 [[#1609]]
 rect 171 181 313 251 [[#1602]]
@@ Regel 221: / Regel 221: @@
 {|
 |-
-|[[Bestand: block.png | link=PharmaceuticalProduct-v2.2.1(2024EN)]]||[[PharmaceuticalProduct-v2.2.1(2024EN) |PharmaceuticalProduct]]
+|[[Bestand: block.png | link=PharmaceuticalProduct-v2.3(2024EN)]]||[[PharmaceuticalProduct-v2.3(2024EN) |PharmaceuticalProduct]]
 |}
 |-style="vertical-align:top; background-color: transparent; "
@@ Regel 643: / Regel 643: @@
 *[[HealthProfessional-v4.0.1(2024EN)|HealthProfessional-v4.0.1]]
 *[[InstructionsForUse-v3.1(2024EN)|InstructionsForUse-v3.1]]
-*[[PharmaceuticalProduct-v2.2.1(2024EN)|PharmaceuticalProduct-v2.2.1]]
+*[[PharmaceuticalProduct-v2.3(2024EN)|PharmaceuticalProduct-v2.3]]
 *[[TimeInterval-v1.3(2024EN)|TimeInterval-v1.3]]
 ====This information model is used in<!--ftReferredBy-->====
@@ Regel 660: / Regel 660: @@
 SNOMED CT and LOINC codes are based on:
 <ul>
-<li>SNOMED Clinical Terms versie: 20250331 [R] (maart 2025-editie)</li>
+<li>SNOMED Clinical Terms versie: 20250430 [R] (april 2025-editie)</li>
 <li>LOINC version 2.77</li>
 </ul>
 Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
-This page is generated on 18/04/2025 16:32:30 with ZibExtraction v. 9.4.9209.40417<!--ftDate--> <BR>
+This page is generated on 27/05/2025 13:59:25 with ZibExtraction v. 9.5.9242.40707<!--ftDate--> <BR>
 -----
 <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2024(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2024(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

MedicationUse2-v3.0(2024EN): verschil tussen versies

Huidige versie van 27 mei 2025 om 16:55

Inhoud

General information

Metadata

Revision History

Concept

Purpose

Information Model

Example Instances