AdministrationAgreement-v1.0.2(2019EN)

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General information

Name: nl.zorg.AdministrationAgreement
Version: 1.0.2
HCIM Status:Final
Release: 2019
Release status: Prepublished
Release date: 31-01-2020


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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 2.16.840.1.113883.2.4.3.11.60.40.3.9.8
DCM::KeywordList Medicatie, Toediening
DCM::LifecycleStatus Final
DCM::ModelerList Architectuurgroep Registratie aan de Bron
DCM::Name nl.zorg.Toedieningsafspraak
DCM::PublicationDate 31-01-2020
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate 31-12-2017
DCM::Supersedes nl.zorg.MedicatieVerstrekking-v1.0.1
DCM::Version 1.0.2
HCIM::PublicationLanguage EN

Revision History

Concept

An administration agreement is the use (or administering) instructions from the pharmacist to the patient (or their representative or administrator), whereby a medication agreement is structured at a concrete level.

Purpose

The goal of the administration agreement is to provide insight into the concrete instructions for administration/use of medication.

Information Model


#AdministrationAgreementAdditionalInformationCodeList#13342#13355#13345#AdministrationAgreementStopTypeCodeListInstructionsForUse-v1.2(2019EN)MedicationAgreement-v1.1(2019EN)PharmaceuticalProduct-v2.1.1(2019EN)#13344HealthcareProvider-v3.3(2019EN)#13341TimeInterval-v1.0(2019EN)#13349#13347


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:9.8.20132 AdministrationAgreement Root concept of the AdministrationAgreement information model. This root concept contains all data elements of the AdministrationAgreement information model.
422037009 Provider medication administration instructions
NL-CM:9.8.22097 Supplier::HealthProfessional 0..1 The supplier (pharmacist) that entered the administration agreement.
HealthcareProvider
NL-CM:9.8.20237 MedicineForAdministrationAgreement::FarmaceuticalProduct 1 Medicine in the AdministrationAgreement.
PharmaceuticalProduct
NL-CM:9.8.22098 InstructionsForUse 0..1 Instructions for administering the medication, e.g. dose and route of administration.
InstructionsForUse
NL-CM:9.8.20133 AdministrationAgreementDateTime 0..1 The time at which the agreement was made.
NL-CM:9.8.22499 AgreementReason 0..1 Reason for this agreement. This will often be the same reason as the one for the medication agreement.

This field has the option to - if applicable - enter a specific reason for the administration agreement. Examples include: substitution, transfer to GDS, patient request for different product, etc.

112231000146109 Reason for administration instructions (observable entity)
NL-CM:9.8.22660 PeriodOfUse 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 administration 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.

With medication for an indefinite period only a start date is indicated.

TimeInterval
NL-CM:9.8.22394 MedicationAgreement 0..1 Relationship to the medication agreement on which the administration agreement is based.
MedicationAgreement
NL-CM:9.8.22498 AdministrationAgreementStopType 0..1 Stop type, the manner in which this medication is discontinued (temporary or definitive).
AdministrationAgreementStopTypeCodeList
NL-CM:9.8.23034 CanceledIndicator 0..1 In the event of an error correction, this indicator is to be put on for the incorrect agreement.
NL-CM:9.8.23284 AdministrationAgreementAdditionalInformation 0..* Additional information includes details on the structure of the agreement made.

This element mainly contains information that until now has been structured with ZZ rules. The medication-related topics that are now supported by the ZZ rules are best supported with a system functionality. A process has been started for this by Z-index/KNMP. For now, the following list will be used. This list will be replaced by a thesaurus in the G standard at a later stage.

AdministrationAgreementAdditionalInformationCodeList
NL-CM:9.8.22275 Comment 0..1 Comments on the administration agreement.
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

ToedieningsAfspraakDatumTijd Gebruiksperiode GeneesmiddelBijToedieningsafspraak Verstrekker GeannuleerdIndicator ToedieningsafspraakStoptype
Ingangsdatum Einddatum Duur ProductCode Zorgaanbieder
2-5-2012 12:14:09 02-05-12 4 weken Paracetamol tablet 500 mg Apotheek De Gulle Gaper
10-9-2015 9:16:31 5 dagen Pantoprazol injpdr 40 mg fl Apotheek De Gulle Gaper Ja
19-9-2014 7:12:59 19-09-14 18-12-14 Dalteparine 2500 injvlst 12.500 ie/ml wwsp 0,2ml Poli-apotheek Het Ziekenhuis
30-8-2013 8:41:43 01-08-13 30-08-13 Prednison 5 mg Poli-apotheek Het Ziekenhuis Definitief
Gebruiksinstructie
Omschrijving ToedieningsWeg HerhaalperiodeCyclischSchema Doseerinstructie
Doseerduur Dosering|Keerdosis Toedieningsschema|Frequentie|Interval|Toedientijd|Weekdag|Dagdeel Zo nodig
Vanaf 2 mei gedurende 4 weken zo nodig bij pijn 500 mg (=1 st), max. 4x per dag oraal 1 4 weken 1 stuk max. 4x/dag Bij pijn
Gedurende 5 dagen 1x/dag (8u) 40 mg (=1 st) iv 40 mg (=1 st) 1x per dag om 8.00 uur
Vanaf 19-9-2014 tot 18-12-2014 1x per dag om 18uur 2500ie(=0,2ml) subcutaan 2500 IE (=0,2 ml) 1x per dag om 18.00 uur
Van 1-8-2013 tot 30-8-2013 volgens afbouwschema. Per 30-8-2013 onderbreken. oraal 1

Valuesets

AdministrationAgreementAdditionalInformationCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.2 Binding: Extensible
Conceptname Conceptcode Codesystem name Codesystem OID Description
Geneesmiddel niet verstrekt 1 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Geneesmiddel niet verstrekt
Niet leverbaar 2 Voorlopige aanvullende  informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Niet leverbaar
Medicatieafspraak gewijzigd: substantie 3 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Medicatieafspraak gewijzigd: substantie
Medicatieafspraak gewijzigd: dosering 4 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Medicatieafspraak gewijzigd: dosering
Medicatieafspraak gewijzigd: farmaceutische vorm 5 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Medicatieafspraak gewijzigd: farmaceutische vorm
Medicatieafspraak gewijzigd: verwisseling van persoon 6 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Medicatieafspraak gewijzigd: verwisseling van persoon
Machtiging aangevraagd 7 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Machtiging aangevraagd
Machtiging afgewezen 8 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Machtiging afgewezen
Machtiging in gebruik nemen 9 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Machtiging in gebruik nemen
Gebruiksinstructie gegeven 10 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Gebruiksinstructie gegeven
Controle inhalatietechniek 11 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Controle inhalatietechniek
Meter periodieke controle 12 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Meter periodieke controle
Pen controle/omruil 13 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Pen controle/omruil
Bijwerking besproken 14 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Bijwerking besproken
Afhandeling bijwerking niet-lareb 15 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Afhandeling bijwerking niet-lareb
Melding lareb 16 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Melding lareb
Medicatiebewaking OT 17 Voorlopige aanvullende informatie toedieningsafspraak 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.3.999 Medicatiebewaking OT

AdministrationAgreementStopTypeCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.8.1 Binding: Extensible
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.

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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
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

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About this information

The information in this wikipage is based on Prerelease 2019-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20190731 [R] (July 2019 Release)
  • LOINC version 2.64

Conditions for use are located on the mainpage
This page is generated on 03/02/2020 01:41:23 with ZibExtraction v. 4.0.7338.2051


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