MedicationAgreement-v2.0(2022EN)

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.MedicationAgreement
Version: 2.0
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 10-06-2022

Attention!! For this HCIM an erratum exists. You can find it in the Errata section of the prerelease.

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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	2.16.840.1.113883.2.4.3.11.60.40.3.9.6
DCM::KeywordList	Medicatie, Afspraak
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.Medicatieafspraak
DCM::PublicationDate	10-06-2022
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate	06-05-2022
DCM::Supersedes	nl.zorg.Medicatieafspraak-v1.3
DCM::Version	2.0
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-888

terminologie reden voor stoppen medicatie verbeteren en SNOMED coderingen zibs met meditatieproces gelijktrekken

Publicatieversie 1.2 (01-09-2020)

ZIB-911	Correction English "Farmaceutical"
ZIB-1020	Zib Gewicht en Zib Lengte uit Zib Medicatieafspraak halen
ZIB-1021	Element 'Geannuleerd indicator' uit MA verwijderen

Publicatieversie 1.3 (01-12-2021)

ZIB-1261	Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes
ZIB-1454	Onduidelijkheid codes bij StopType codelijsten
ZIB-1457	Verwijderen woord 'voorlopig'
ZIB-1458	Verwijderen sectie 'Instructions' bij MedicationAgreement
ZIB-1575	Deprecated termen en waardelijsten uit de prepublicatie halen

Publicatieversie 2.0 (10-06-2022)

ZIB-1659	Aanpassen terminologiecodering MA in zibMA
ZIB-1685	Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met'
ZIB-1696	MedicatieafspraakAanvullendeInformatieCodelijst heeft 'verkeerde' oid voor codesysteem
ZIB-1720	Verzameling errata bouwsteen Medicatieafspraak

Concept

A medication agreement is a prescriber’s proposal for a patient to use medication. An agreement to discontinue the use of medication is also a medication agreement.

Purpose

The goal of the medication agreement is to provide insight into the agreements reached between the prescriber and the patient on the use of medication.

Information Model

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:9.6.9580	MedicationAgreement							Root concept of the MedicationAgreement information model. This root concept contains all data elements of the MedicationAgreement information model.	33633005 Prescription of drug
	NL-CM:9.6.1030		Prescriber::HealthProfessional					0..1	The health professional that entered the medication agreement with the patient.		HealthProfessional
	NL-CM:9.6.23133		PrescriptionReason::Problem					0..1	The medical reason for the prescription or for use of the medication. This can be used to enter a medical indication which was the direct cause for prescription or for use of the medication in question. It can concern every type of problem (or condition) of the patient, almost all diagnoses, complaints or symptoms. Please note: The BST401T file of the G standard contains a “special reference” to indicate that “exchange of the reason for prescription is essential”.	112201000146104 Medical reason for prescription	Problem
	NL-CM:9.6.19925		AgreedMedicine::PharmaceuticalProduct					1	The medicine agreed upon to be used.		PharmaceuticalProduct
	NL-CM:9.6.23240		InstructionsForUse					0..1	Instructions for the use of the medication, e.g. dose and route of administration.		InstructionsForUse
	NL-CM:9.6.19757		MedicationAgreementDateTime					1	The time at which the agreement was made. Appointment date + time are required (order of the appointments must be clear in cases with multiple appointments on one day)
	NL-CM:9.6.19936		PeriodOfUse::TimeInterval					0..1	Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). This is the time at which the instructions for use in this agreement start. In the case of an agreement to discontinue use, this is the start date of the original medication agreement. The end date indicates from when the medication is to be discontinued. 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). In the case of an agreement to discontinue use, this is the time at which the medication is to be discontinued. To avoid confusion between 'to' and 'up until and including', the submission of time is always mandatory for the end date. With medication for an indefinite period only a start date is indicated.		TimeInterval
	NL-CM:9.6.19954		MedicationAgreementStopType					0..1	Stop type, the manner in which this medication is discontinued (temporary or definitive).	274512008 Medication discontinued	MedicationAgreementStopTypeCodeList
	NL-CM:9.6.22094		ReasonModificationOrDiscontinuation					0..1	Reason for modification or discontinuation of the medication agreement.	160111000146106 reden voor wijzigen van voorschrift	MedicationAgreementReasonCodeList
	NL-CM:9.6.23283		MedicationAgreementAdditionalInformation					0..*	Additional information includes details on the structure of the agreement made that are relevant for pharmacovigilance and fulfillment by the pharmacist. This can be used e.g. to indicate that there was a conscious decision to deviate from the norm or that the agreement is to be structured in a certain way. See also the Instructions section for more information about use of the element.		MedicationAgreementAdditionalInformationCodeList
	NL-CM:9.6.22273		Comment					0..1	Comments regarding to the medication agreement. For example: in consultation with the medical specialist.	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

MedicatieAfspraak DatumTijd	Gebruiksperiode			Afgesproken geneesmiddel	Voorschrijver	MedicatieAfspraak Stoptype	MedicatieAfspraak.Reden
	Ingangsdatum	Einddatum	Duur	FarmaceutischProduct	Zorgverlener
					Naamgegevens
18-9-2016 18:00:00	08-09-16	18-09-16		Lisinopril tablet 10mg	D. Bakker	Definitief	Geen of onvoldoende effect
6-3-2016 9:12:30	06-03-2016			Methotrexaat injvlst 25mg/ml 0,6 ml	R. Jansen		Starten medicamenteuze behandeling

RedenVan Voorschrijven	Gebruiksinstructie
Probleem	Omschrijving	Doseerinstructie
		Doseerduur	Dosering |Keerdosis	Toedieningsschema |Frequentie |Interval |Toedientijd |Weekdag |Dagdeel
	Van 8-9-2017 tot 18-9-2017 1x per dag 1 stuk. Vanaf 18-9-2017 staken.		1 stuk	1x per dag
Reumatoïde Artritis	Vanaf 6 maart 2016 1x per week op maandag om 14uur 15 mg (=0,6 ml)		15 mg (=0,6 ml)	1x per week op maandag (14u)

Valuesets

MedicationAgreementAdditionalInformationCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.6.3

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Bewust hoge dosering	1	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust hoge dosering
Bewust lage dosering	2	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust lage dosering
Bewust afwijkende toedieningsweg	3	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust afwijkende toedieningsweg
Medische noodzaak	4	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Medische noodzaak
Profylaxe	5	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Profylaxe
Wijziging in GDS per direct	6	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Wijziging in GDS per direct
Wijziging in GDS per rolwissel	7	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Wijziging in GDS per rolwissel
Bewust afwijken van leeftijdsgrenzen	8	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust afwijken van leeftijdsgrenzen
Bewust van te lage nierfunctie voor deze dosering	9	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust van te lage nierfunctie voor deze dosering
Bewust van eerder gemelde overgevoeligheid	10	G-std thesaurus 2050	2.16.840.1.113883.2.4.3.11.60.20.77.5.2.14.2050	Bewust van eerder gemelde overgevoeligheid

MedicationAgreementReasonCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2

Binding: Extensible

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	Toedienen van medicatie gecontra-indiceerd
Medication interaction	79899007	SNOMED CT	2.16.840.1.113883.6.96	Geneesmiddelinteractie
Adverse reaction to drug	62014003	SNOMED CT	2.16.840.1.113883.6.96	Ongewenste reactie op medicatie en/of drugs
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	Gebrek aan geneesmiddeleffect
Drug action too strong	112251000146103	SNOMED CT	2.16.840.1.113883.6.96	Te sterk effect van medicatie
At 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	Medicatietoedieningsweg voldoet niet
Drug treatment not indicated	183966005	SNOMED CT	2.16.840.1.113883.6.96	Geen indicatie voor medicamenteuze behandeling
Medication management changed	112751000146109	SNOMED CT	2.16.840.1.113883.6.96	Medicatiebeleids veranderd
Admission to establishment	305335007	SNOMED CT	2.16.840.1.113883.6.96	Opname in instelling
Patient requested modification of treatment	159711000146106	SNOMED CT	2.16.840.1.113883.6.96	Verzoek van zorgafnemer om behandeling te wijzigen
Patient requested treatment	184003006	SNOMED CT	2.16.840.1.113883.6.96	Wens patiënt [DEPRECATED]
Patient agreed with treatment	112211000146102	SNOMED CT	2.16.840.1.113883.6.96	Volgens afspraak [DEPRECATED]
Treatment previous prescriber continued	112261000146100	SNOMED CT	2.16.840.1.113883.6.96	Hervatten beleid vorige voorschrijver
Planned procedure	405613005	SNOMED CT	2.16.840.1.113883.6.96	Verrichting gepland
Incorrect registration of medication	159691000146109	SNOMED CT	2.16.840.1.113883.6.1	Foutieve registratie
Drug not available - out of stock	182856006	SNOMED CT	2.16.840.1.113883.6.96	Geneesmiddel niet voorradig
Change in lab value	160131000146104	SNOMED CT	2.16.840.1.113883.6.96	Verandering in labwaarde
Duplicate registration of medication treatment	160161000146108	SNOMED CT	2.16.840.1.113883.6.96	Dubbele registratie van medicamenteuze behandeling
Patient takes medication as prescribed	112221000146107	SNOMED CT	2.16.840.1.113883.6.96	Medicatiegebruik van patient volgens afspraak
Overig	OTH	NullFlavor	2.16.840.1.113883.5.1008	Overig

MedicationAgreementStopTypeCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.6.1

Binding: Extensible

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.

This information model in other releases

• Release 2017, (Version 1.0.1)
• Prerelease 2018-2, (Version 1.0.1)
• Prerelease 2019-2, (Version 1.1)
• Release 2020, (Version 1.2)
• Prerelease 2021-2, (Version 1.3)
• Prerelease 2023-1, (Version 2.1)
• Prerelease 2024-1, (Version 3.0)

Information model references

This information model refers to

• HealthProfessional-v3.5.2
• InstructionsForUse-v2.0
• PharmaceuticalProduct-v2.2
• Problem-v4.6
• TimeInterval-v1.1.1

This information model is used in

• AdministrationAgreement-v2.0
• MedicationAdministration2-v2.0

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 Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)
• LOINC version 2.67

Conditions for use are located on the mainpage
This page is generated on 10/06/2022 12:42:06 with ZibExtraction v. 8.0.8196.20371

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