MedicationUse2-v1.2(2021EN)

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General information

Name: nl.zorg.MedicationUse2
Version: 1.2
HCIM Status:Final
Release: 2021
Release status: Prepublished
Release date: 01-12-2021

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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 2.16.840.1.113883.2.4.3.11.60.40.3.9.11
DCM::KeywordList Medicatie, Gebruik
DCM::LifecycleStatus Final
DCM::ModelerList Architectuurgroep Registratie aan de Bron
DCM::Name nl.zorg.MedicatieGebruik2
DCM::PublicationDate 01-12-2021
DCM::PublicationStatus Prepublished
DCM::ReviewerList Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate 20-08-2021
DCM::Supersedes nl.zorg.MedicatieGebruik2-v1.1.1
DCM::Version 1.2
HCIM::PublicationLanguage EN

Revision History

Concept

MedicationUse is a statement on the historic, current or intended use of a certain medicine.

Purpose

The goal of the medication use is to provide insight into the patient’s pattern of use.

Information Model


HealthProfessional-v3.5.1(2021EN)#ReasonForChangeOrDiscontinuationOfUseCodeList#MedicationUseStopTypeCodeList#13447#13449InstructionsForUse-v1.3(2021EN)#13450PharmaceuticalProduct-v2.1.3(2021EN)#13455#13448#13445TimeInterval-v1.1(2021EN)#13451#13453


Type Id Concept Card. Definition DefinitionCode Reference
NL-CM:9.11.21338 MedicationUse Root concept of the MedicationUse information model. This root concept contains all data elements of the MedicationUse information model.
422979000 Medication regimen behavior finding
NL-CM:9.11.23290 Prescriber::HealthProfessional 0..1 The health professional that entered the medication agreement with the patient.
HealthProfessional
NL-CM:9.11.21339 ProductUsed::PharmaceuticalProduct 1 The product used. This is usually medication. Food, blood products, aids and bandages do not strictly fall under the category of medication, but can be recorded as well.

In principle, this will be the prescribed product, but the product used may differ from the prescribed product.

PharmaceuticalProduct
NL-CM:9.11.22504 InstructionsForUse 0..1 Instructions for the use of the medication, e.g. dose and route of administration. In the event of medication use, this is the pattern of use established by the patient or which the patient followed.
InstructionsForUse
NL-CM:9.11.22398 MedicationUseDateTime 1 Date on which this use is entered.
NL-CM:9.11.22663 PeriodOfUse 0..1 Medication use can be recorded for a certain moment or over a certain period. Thus, medication use can be recorded multiple times during the use of medication. The usage period is the period or moment over which the data is recorded.

Start date: This is the time at which the agreement was to take effect (or took effect or will take effect). 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). To avoid confusion between 'to' and 'up to', the submission of time is always mandatory for the end date.

TimeInterval
NL-CM:9.11.22492 AsAgreedIndicator 0..1 Is the medicine used as outlined in the medication agreement?
NL-CM:9.11.22399 UseIndicator 1 Is this medicine used or not?
112221000146107 Patient takes medication as prescribed
NL-CM:9.11.22491 ReasonForUse 0..1 The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.
NL-CM:9.11.23132 MedicationUseStopType 0..1 Stop type, the manner in which this medication is discontinued (temporary or definitive).
MedicationUseStopTypeCodeList
NL-CM:9.11.22493 ReasonForChangeOrDiscontinuationOfUse 0..* Reason for changing or discontinuing use of medication.
ReasonForChangeOrDiscontinuationOfUseCodeList
NL-CM:9.11.21624 Comment 0..1 Comments on the medication use.
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

MedicatieGebruik DatumTijd GebruikIndicator VolgensAfspraak Indicator Medicatiegebruik Stoptype Gebruiksperiode Gebruiksproduct
Ingangsdatum Einddatum Gebruiksduur ProductCode
3-6-2014 16:19:07 Ja Mei 2014 1 maand Paracetamol tablet 500 mg
11-9-2012 17:21:00 Ja Ja 01-09-12 05-09-12 Pantoprazol injpdr 40 mg fl
19-9-2014 4:12:11 Nee Nee Definitief 17-09-14 Dalteparine 2500 injvlst 12.500 ie/ml wwsp 0,2ml
RedenGebruik RedenWijzigen OfStoppen Gebruik GebruiksInstructie
Omschrijving ToedieningsWeg Aanvullende instructie Doseerinstructie
Doseerduur Dosering| Keerdosis Toedieningsschema |Frequentie |Interval |Toedientijd |Weekdag |Dagdeel
Pijn In de maand mei heb ik regelmatig paracetamol gebruikt.
Ulcusprofylaxe Vanaf 1 september 2012 gedurende 5 dagen 1x per dag om 8uur 40 mg (=1 st) iv 40 mg (=1 st) 1x per dag om 8.00 uur
(Mogelijke) bijwerking Tijdelijk gestopt vanwege toenemende bijwerkingen: duizeligheid en misselijkheid. subcutaan 2500 IE 1x per dag om 18.00 uur

Valuesets

MedicationUseStopTypeCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.1 Binding: Required
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.

ReasonForChangeOrDiscontinuationOfUseCodeList

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2 Binding: Required
Conceptname Conceptcode Codesystem name Codesystem OID Description
Medication commenced 266709005 SNOMED CT 2.16.840.1.113883.6.96 Starten medicamenteuze behandeling
Administration of medication contraindicated 438833006 SNOMED CT 2.16.840.1.113883.6.96 Contra-indicatie
Medication interaction 79899007 SNOMED CT 2.16.840.1.113883.6.96 Interactie
Hypersensitivity condition 473010000 SNOMED CT 2.16.840.1.113883.6.96 Overgevoeligheid
Lack of drug action 58848006 SNOMED CT 2.16.840.1.113883.6.96 Geen of onvoldoende effect
Drug action too strong 112251000146103 SNOMED CT 2.16.840.1.113883.6.96 Te sterk effect
At risk of medication side effect 704417003 SNOMED CT 2.16.840.1.113883.6.96 (Mogelijke) bijwerking
Insufficient route of drug administration 112191000146101 SNOMED CT 2.16.840.1.113883.6.96 Toedieningsweg voldoet niet
Drug treatment not indicated 183966005 SNOMED CT 2.16.840.1.113883.6.96 Indicatie vervallen
Medication management changed (situation) 112751000146109 Medicatieafspraak Reden 2.16.840.1.113883.2.4.3.11.60.20.77.5.2.2 Beleidswijziging
Admission to establishment 305335007 SNOMED CT 2.16.840.1.113883.6.96 Opname
Patient requested treatment 184003006 SNOMED CT 2.16.840.1.113883.6.96 Wens patiënt
Patient agreed with treatment 112211000146102 SNOMED CT 2.16.840.1.113883.6.96 Volgens afspraak
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 Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
Overig OTH NullFlavor 2.16.840.1.113883.5.1008 Overig

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Technical specifications in HL7v3 CDA and HL7 FHIR

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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 2021-2
SNOMED CT and LOINC codes are based on:

  • SNOMED Clinical Terms version: 20210731 [R] (July 2021 Release)
  • LOINC version 2.67

Conditions for use are located on the mainpage
This page is generated on 30/11/2021 09:43:35 with ZibExtraction v. 6.4.8004.1652

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