MedicationContraIndication-v1.0(2020EN)
General information
Name: nl.zorg.MedicationContraIndication 
Version: 1.0
HCIM Status:Final
Release: 2020
Release status: Published
Release date: 01-09-2020
Metadata
| DCM::CoderList | * |
| DCM::ContactInformation.Address | * |
| DCM::ContactInformation.Name | * |
| DCM::ContactInformation.Telecom | * |
| DCM::ContentAuthorList | * |
| DCM::CreationDate | 15/06/2020 |
| DCM::DeprecatedDate | |
| DCM::DescriptionLanguage | nl |
| DCM::EndorsingAuthority.Address | |
| DCM::EndorsingAuthority.Name | * |
| DCM::EndorsingAuthority.Telecom | |
| DCM::Id | 2.16.840.1.113883.2.4.3.11.60.40.3.9.14 |
| DCM::KeywordList | |
| DCM::LifecycleStatus | Final |
| DCM::ModelerList | * |
| DCM::Name | nl.zorg.MedicatieContraIndicatie |
| DCM::PublicationDate | 01-09-2020 |
| DCM::PublicationStatus | Published |
| DCM::ReviewerList | |
| DCM::RevisionDate | |
| DCM::Supersedes | * |
| DCM::Version | 1.0 |
| HCIM::PublicationLanguage | EN |
Revision History
Only available in Dutch
Publicatieversie 1.0 (01-09-2020).
Concept
A contra-indication (CI) for medication safety is a condition or characteristic of a patient where healthcare professionals are not allowed to subscribe certain medicines, or only under certain conditions.
Purpose
Contraindications should be taken into account with drug treatement. These are important for medication safety monitoring.
Evidence Base
A number of contraindications for medication safety are disorders that are also recorded as a problem (HCIM Problem) and/or as a warning (HCIM Alert) and not only as a medication contraindication .
In the Netherlands it is important to also capture these via the G standard (thesaurus 40) as a contra-indication. Contraindications are used for medication safety. Through its use in these applications, important warnings / signals are given to healthcare providers.
Information Model
| Type | Id | Concept | Card. | Definition | DefinitionCode | Reference | ||||||||
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NL-CM:9.14.1 |  MedicationContraIndication
|
Root concept of the MedicationContraIndication information model.This root concept contains all data elements of the MedicationContraIndication information model. |
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NL-CM:9.14.2 |  StartDate
|
0..1 | The date and possibly time when the contra-indication for medication was identified. |
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NL-CM:9.14.3 | EndDate
|
0..1 | The date and, if applicable, time when the contraindication for medication monitoring is considered no longer applicable. |
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NL-CM:9.14.4 | ReasonClosure
|
0..1 | Reason for closing the medication contraindication. |
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NL-CM:9.14.5 | Reporter::HealthProfessional
|
1 | The healthcare provider who takes responsibility for registering the contraindication |
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NL-CM:9.14.6 | MedicationContraIndicationName
|
1 | The name and code of the contraindication from the Dutch National Contra-indication list (G-standard Thesaurus 40). |
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NL-CM:9.14.7 | Comment
|
0..1 | Comment on the contraindication important for interpretation which cannot be captured in any of the other data items. For example, a comment on a contraindication with an end date in the future. |
|
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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
| MedicatieContraIndicatie | ||||||
| Contra Indicatie | BeginDatum | EindDatum | Reden van Afsluiten | Toelichting | Melder | |
| Naam | Specialisme | |||||
| (1320) zwangerschap |
08-06-2020 | 18-03-2020 | D. Bakker | Huisarts | ||
| (0210) Sportbeoefening |
01-10-1987 | 27-02-2005 | Patiënt doet niet meer aan sport waarbij doping verboden is | K. Vriendwijk | Huisarts | |
| (113) morbide obesitas |
31-12-2016 | 21-09-2019 | Patiënt heeft maagband gekregen en heeft gewicht verloren | D. Bakker | Huisarts | |
| (1355) bariatrische chirurgie |
10-04-2019 | L. de Jong | Chirurg | |||
Instructions
In the G-standard Thesaurus 40, Z-Index uses 2 terms.
- The contraindication nature: the list of items referred to from MedicationContraIndicationName) and
- the contraindication: the combination of recorded contraindication nature + the medicine (the contraindication codes from file 655).
This last combination between contraindication nature and medication is made via this MedicationContraIndication HCIM and one or more of the other medication HCIMs. For example in a medication process use-case ePrescription and/or dispense of medication.
References
1. Medicatiebewaking [online] beschikbaar op https://www.z-index.nl/documentatie [Geraadpleegd: 19 juni 2020]
Valuesets
MedicationContraIndicationNameCodelist
| Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.14.1 | Binding: Required |
| Conceptname | Codesystem name | Codesystem OID |
| alle waarden | G-standaard Contra Indicaties (Thesaurus 40) | 2.16.840.1.113883.2.4.4.1.902.40 |
This information model in other releases
- Prerelease 2021-2, (Version 1.1)
- Prerelease 2022-1, (Version 2.0)
- Prerelease 2023-1, (Version 2.0.1)
- Prerelease 2024-1, (Version 2.0.1)
Information model references
This information model refers to
This information model is used in
- --
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 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
This page is generated on 29/09/2020 21:24:00 with ZibExtraction v. 4.0.7577.31095