MedicationUse2-v1.1.1(2020EN): verschil tussen versies

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Geen bewerkingssamenvatting
Regel 134: Regel 134:
{|
{|
|-
|-
|<span title = "Codesystem: SNOMED CT (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=422979000 422979000] Medication regimen behavior finding</span>
|<span title = "Codesystem: SNOMED CT; Bevinding betreffende gedrag met betrekking tot medicatieregime (finding)" >[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=422979000 422979000] Medication regimen behavior finding</span>
|}
|}
|
|
Regel 516: Regel 516:
|Indicatie vervallen(DEPRECATED)
|Indicatie vervallen(DEPRECATED)
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "(situation)">Drug treatment not indicated</span>
|<span title = "Geen indicatie voor medicamenteuze behandeling (situation)">Drug treatment not indicated</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=183966005 183966005]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=183966005 183966005]
|SNOMED CT
|SNOMED CT
Regel 546: Regel 546:
|Wens patiënt(DEPRECATED)
|Wens patiënt(DEPRECATED)
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "(situation)">Patient requested treatment</span>
|<span title = "Verzoek van zorgafnemer om behandeling (situation)">Patient requested treatment</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=184003006 184003006]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=184003006 184003006]
|SNOMED CT
|SNOMED CT
Regel 611: Regel 611:
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.10.4.2.9.11&effectiveDate=2020-09-01T00:00:00&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--zib2020bbr-?id=2.16.840.1.113883.2.4.3.11.60.121.4.2.9.11&effectiveDate=2020-09-01T00:00:00&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<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2020}}</li>
</ul>
</ul>
Regel 620: Regel 620:
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms version: 20200309 [R] (March 2020 Interim Release)</li>
<li>SNOMED Clinical Terms version: 20200731 [R] (July 2020 Release)</li>
<li>LOINC version 2.67</li>
<li>LOINC version 2.67</li>
</ul>
</ul>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR>
This page is generated on 03/09/2020 13:25:58 with ZibExtraction v. 4.0.7551.21411<!--ftDate--> <BR>
This page is generated on 29/09/2020 21:34:29 with ZibExtraction v. 4.0.7577.31095<!--ftDate--> <BR>
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2020(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2020(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release<!--wikiReleasePage-->_2020(EN)]] [[HCIM_Release<!--wikiReleasePage-->_2020(EN) |Back to HCIM list<!--hdBackToMainPage--> ]]</div>

Versie van 29 sep 2020 21:19


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

General information

Name: nl.zorg.MedicationUse2 NL.png
Version: 1.1.1
HCIM Status:Final
Release: 2020
Release status: Published
Release date: 01-09-2020

Back 16.png 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 01-09-2020
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate 15-07-2020
DCM::Supersedes nl.zorg.MedicatieGebruik2-v1.1
DCM::Version 1.1.1
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"

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


HealthProfessional-v3.5(2020EN)#ReasonForChangeOrDiscontinuationOfUseCodeList#MedicationUseStopTypeCodeList#13447#13449InstructionsForUse-v1.2.1(2020EN)#13450PharmaceuticalProduct-v2.1.2(2020EN)#13455#13448#13445TimeInterval-v1.0(2020EN)#13451#13453MedicationUse2-v1.1.1Model(2020EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:9.11.21338 Arrowdown.pngMedicationUse Root concept of the MedicationUse information model. This root concept contains all data elements of the MedicationUse information model.
422979000 Medication regimen behavior finding
Verwijzing.png NL-CM:9.11.23290 Arrowright.pngPrescriber::HealthProfessional 0..1 The health professional that entered the medication agreement with the patient.
Block.png HealthProfessional
Verwijzing.png NL-CM:9.11.21339 Arrowright.pngProductUsed::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.

Block.png PharmaceuticalProduct
Verwijzing.png NL-CM:9.11.22504 Arrowright.pngInstructionsForUse 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 which the patient followed.
Block.png InstructionsForUse
TS.png NL-CM:9.11.22398 Arrowright.pngMedicationUseDateTime 1 Date on which this use is entered.
Verwijzing.png NL-CM:9.11.22663 Arrowright.pngPeriodOfUse 0..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 to', the submission of time is always mandatory for the end date.

Block.png TimeInterval
BL.png NL-CM:9.11.22492 Arrowright.pngAsAgreedIndicator 0..1 Is the medicine used as outlined in the medication agreement?
BL.png NL-CM:9.11.22399 Arrowright.pngUseIndicator 1 Is this medicine used or not?
112221000146107 Patient takes medication as prescribed
ST.png NL-CM:9.11.22491 Arrowright.pngReasonForUse 0..1 The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.
CD.png NL-CM:9.11.23132 Arrowright.pngMedicationUseStopType 0..1 Stop type, the manner in which this medication is discontinued (temporary or definitive).
List2.png MedicationUseStopTypeCodeList
CD.png NL-CM:9.11.22493 Arrowright.pngReasonForChangeOrDiscontinuationOfUse 0..* Reason for changing or discontinuing use of medication.
List2.png ReasonForChangeOrDiscontinuationOfUseCodeList
ST.png NL-CM:9.11.21624 Arrowright.pngComment 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 List2.png

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 1 maand 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: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Tijdelijk 1 StopType 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1 Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie). (DEPRECATED)
Drug therapy temporarily stopped (finding) 112171000146100 SNOMED CT 2.16.840.1.113883.6.96 Tijdelijke onderbreking van medicamenteuze behandeling (bijvoorbeeld tijdelijk stoppen gebruik vanwege operatie).
Definitief 2 StopType 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.1 Het staken van een bestaande medicamenteuze behandeling. (DEPRECATED)
Drug therapy definitively stopped (finding) 112161000146106 SNOMED CT 2.16.840.1.113883.6.96 Het staken van een bestaande medicamenteuze behandeling.

ReasonForChangeOrDiscontinuationOfUseCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Medication commenced 266709005 SNOMED CT 2.16.840.1.113883.6.96 Starten medicamenteuze behandeling
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
Hypersensitivity condition 473010000 SNOMED CT 2.16.840.1.113883.6.96 Overgevoeligheid
Geen of onvoldoende effect 5 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Geen of onvoldoende effect(DEPRECATED)
Lack of drug action 58848006 SNOMED CT 2.16.840.1.113883.6.96 Geen of onvoldoende effect
Te sterk effect 6 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Te sterk effect(DEPRECATED)
Drug action too strong 112251000146103 SNOMED CT 2.16.840.1.113883.6.96 Te sterk effect
(Mogelijke) bijwerking 7 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 (Mogelijke) bijwerking(DEPRECATED)
At risk of medication side effect 704417003 SNOMED CT 2.16.840.1.113883.6.96 (Mogelijke) bijwerking
Toedieningsweg voldoet niet 8 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Toedieningsweg voldoet niet (DEPRECATED)
Insufficient route of drug administration 112191000146101 SNOMED CT 2.16.840.1.113883.6.96 Toedieningsweg voldoet niet
Indicatie vervallen 9 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Indicatie vervallen(DEPRECATED)
Drug treatment not indicated 183966005 SNOMED CT 2.16.840.1.113883.6.96 Indicatie vervallen
Beleidswijziging 10 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Beleidswijziging(DEPRECATED)
Medication management changed (situation) 112751000146109 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Beleidswijziging
Admission to establishment 305335007 SNOMED CT 2.16.840.1.113883.6.96 Opname
Wens patiënt 12 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Wens patiënt(DEPRECATED)
Patient requested treatment 184003006 SNOMED CT 2.16.840.1.113883.6.96 Wens patiënt
Volgens afspraak 13 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Volgens afspraak(DEPRECATED)
Patient agreed with treatment 112211000146102 SNOMED CT 2.16.840.1.113883.6.96 Volgens afspraak
Hervatten beleid vorige voorschrijver 14 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Hervatten beleid vorige voorschrijver(DEPRECATED)
Treatment previous prescriber continued 112261000146100 SNOMED CT 2.16.840.1.113883.6.96 Hervatten beleid vorige voorschrijver
Geplande procedure 15 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.(DEPRECATED)
Planned procedure 405613005 SNOMED CT 2.16.840.1.113883.6.96 Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
Overig OTH NullFlavour 2.16.840.1.113883.5.1008 Overig

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Information model references

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--

Technical specifications in HL7v3 CDA and HL7 FHIR

To exchange information based on health and care information models, additional, more technical specifications are required.
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:

  • HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

Downloads

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

About this information

The information in this wikipage is based on Release 2020
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20200731 [R] (July 2020 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage List2.png
This page is generated on 29/09/2020 21:34:29 with ZibExtraction v. 4.0.7577.31095

Back 16.png Back to HCIM list
Overgenomen van "https://zibs.test-nictiz.nl/index.php?title=MedicationUse2-v1.1.1(2020EN)&oldid=21849"