General information
Name: nl.zorg.MedicationAgreement 
Version: 1.0
HCIM Status:Final
Publication: 2017
Release status: Prepublished
Publication date: 04-09-2017
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 |
04-09-2017
|
| DCM::PublicationStatus |
Prepublished
|
| DCM::ReviewerList |
Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
|
| DCM::RevisionDate |
04-09-2017
|
| DCM::Superseeds |
nl.zorg.MedicatieVoorschrift-v3.0
|
| DCM::Version |
1.0
|
| HCIM::PublicationLanguage |
EN
|
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017).
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.
|
|
|
|
NL-CM:9.6.1030
|
|
 Prescriber::HealthProfessional
|
0..1
|
The health professional that entered the medication agreement with the patient.
|
|
|
|
|
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”.
|
|
|
|
|
NL-CM:9.6.23028
|
|
BodyWeight
|
0..1
|
Weight the dose is based on, relevant to this agreement.
|
|
|
|
|
NL-CM:9.6.23023
|
|
BodyHeight
|
0..1
|
Height the dose is based on, relevant to this agreement.
|
|
|
|
|
NL-CM:9.6.19925
|
|
AgreedMedicine::Product
|
1
|
The medicine agreed upon to be used.
|
|
|
|
|
NL-CM:9.6.23240
|
|
InstructionsForUse
|
0..1
|
Instructions for the use of the medication, e.g. dose and route of administration.
|
|
|
|
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
|
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 to', the submission of time is always mandatory for the end date.
|
|
|
|
NL-CM:9.6.23033
|
|
CanceledIndicator
|
0..1
|
In the event of an error correction of the medication agreement, this indicator is to be put on for the incorrect agreement.
|
|
|
|
NL-CM:9.6.19954
|
|
MedicationAgreementStopType
|
0..1
|
Stop type, the manner in which this medication is discontinued (temporary or definitive).
|
|
|
|
|
NL-CM:9.6.22094
|
|
ReasonMedicationAgreement
|
0..1
|
Reason for this agreement. This can be the reason to start, change or stop the medication treatment.
|
|
|
|
|
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.
|
|
|
|
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
|
|
|
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
|
Geannuleerd Indicator
|
MedicatieAfspraak Stoptype
|
MedicatieAfspraak.Reden
|
|
|
Ingangsdatum
|
Einddatum
|
Duur
|
Product
|
Zorgverlener
|
|
|
|
|
|
|
|
|
|
Naamgegevens
|
|
|
|
| 18-9-2016 18:00:00
|
08-09-16
|
18-09-16
|
|
Lisinopril tablet 10mg
|
D. Bakker
|
Nee
|
Definitief
|
Geen of onvoldoende effect
|
| 6-3-2016 9:12:30
|
06-03-2016
|
|
|
Methotrexaat injvlst 25mg/ml 0,6 ml
|
R. Jansen
|
Nee
|
|
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
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Bewust hoge dosering
|
1
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Bewust lage dosering
|
2
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Bewust afwijkende toedieningsweg
|
3
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Medische noodzaak
|
4
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Profylaxe
|
5
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Wijziging in GDS per direct
|
6
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
| Wijziging in GDS per rolwissel
|
7
|
Voorlopige G-std thesaurus 2050
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.2050
|
|
MedicationAgreementReasonCodeList
| Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.9.6.2
|
| Conceptname
|
Conceptcode
|
Codesystem name |
Codesystem OID
|
Description
|
| Medication commenced (finding)
|
266709005
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Starten medicamenteuze behandeling
|
| Administration of drug or medicament contraindicated (situation)
|
438833006
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Contra-indicatie
|
| Drug interaction (disorder)
|
79899007
|
SNOMED CT
|
2.16.840.1.113883.6.96
|
Interactie
|
| Hypersensitivity condition (disorder)
|
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
|
| Te sterk effect
|
6
|
Medicatieafspraak Reden
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2
|
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
|
| Toedieningsweg voldoet niet
|
8
|
Medicatieafspraak Reden
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2
|
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
|
| Beleidswijziging
|
10
|
Medicatieafspraak Reden
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2
|
Beleidswijziging
|
| Admission to establishment (procedure)
|
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
|
| Volgens afspraak
|
13
|
Medicatieafspraak Reden
|
2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2
|
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
|
| 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.
|
| Overig
|
OTH
|
NullFlavour
|
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
|
| 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).
|
| 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.
|
More on this information model
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[1]
This information model is also available as pdf file 
or as spreadsheet 
About this information
The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 10:58:10
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MedicationAgreement
Prescriber::HealthProfessional
