MedicationAgreement-v1.0(2017EN)

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General information

Name: nl.zorg.MedicationAgreement
Version: 1.0
HCIM Status:Final
Release: 2017
Release status: Prepublished
Release date: 04-09-2017

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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 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

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


#MedicationAgreementAdditionalInformationCodeList#13304Problem-v4.0(2017EN)Product-v1.0(2017EN)#MedicationAgreementStopTypeCodeList#MedicationAgreementReasonCodeListHealthProfessional-v3.1(2017EN)BodyWeight-v3.1(2017EN)BodyHeight-v3.1(2017EN)#13318#13305#13314#13306TimeInterval-v1.0(2017EN)InstructionsForUse-v1.0(2017EN)#13312#13317


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.
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”.

Problem
NL-CM:9.6.23028 BodyWeight 0..1 Weight the dose is based on, relevant to this agreement.
BodyWeight
NL-CM:9.6.23023 BodyHeight 0..1 Height the dose is based on, relevant to this agreement.
BodyHeight
NL-CM:9.6.19925 AgreedMedicine::Product 1 The medicine agreed upon to be used.
Product
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 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.

TimeInterval
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).
MedicationAgreementStopTypeCodeList
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.
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.
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

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.


This information model in other releases

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More on this information model

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

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 30/11/2017 13:37:27

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