General information Name: nl.zorg.MedicationUse2 3.0 2024
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
15-04-2024
DCM::PublicationStatus
Prepublished
DCM::ReviewerList
Projectgroep Medicatieproces & Architectuurgroep Registratie aan de Bron
DCM::RevisionDate
09-04-2024
DCM::Supersedes
nl.zorg.MedicatieGebruik2-v2.1
DCM::Version
3.0
HCIM::PublicationLanguage
EN
Revision History
Only available in Dutch
Publicatieversie 1.0 (04-09-2017)
Publicatieversie 1.0.1 (31-12-2017)
ZIB-618
Hernoemen Verstrekking naar Medicatieverstrekking
ZIB-643
Kleine tekstuele verbeteringen
Publicatieversie 1.1 (31-01-2020)
ZIB-906
Typo engelse term medicatie gebruik zib
ZIB-888
terminologie reden voor stoppen medicatie verbeteren en SNOMED coderingen zibs met meditatieproces gelijktrekken
Publicatieversie 1.1.1 (01-09-2020)
ZIB-911
Correction English "Farmaceutical"
Publicatieversie 1.2 (01-12-2021)
ZIB-1261
Medicatieafspraak waardelijst MedicatieafspraakStopTypeCodelijst bevat vervallen SNOMED CT codes
ZIB-1454
Onduidelijkheid codes bij StopType codelijsten
ZIB-1575
Deprecated termen en waardelijsten uit de prepublicatie halen
Publicatieversie 2.0 (10-06-2022)
ZIB-1685
Medicatiebouwstenen MA, TA, MGB - engelse vertaling van 'tot en met'
ZIB-1725
Verzameling errata bouwsteen Medicatiegebruik
Publicatieversie 2.1 (15-10-2023)
ZIB-1965
Voorbeeld medicatiegebruik gebruiksduur: maand niet toegestaan
ZIB-1974
Suggested typo and textual improvements
Publicatieversie 3.0 (15-04-2024)
ZIB-2091
MGB/RedenWijzigenOfStoppenGebruik: toevoegen 'loopt in andere medicamenteuze behandeling'
ZIB-2092
Kardinaliteit gebruiksperiode
ZIB-2132
2023-1 Verwijzingen naar FarmaceutischProduct gebruiken verkeerde NL-CM id
ZIB-2133
2023-1 Verwijzingen naar Gebruiksinstructie gebruiken verkeerde NL-CM id
ZIB-2152
MedicatieGebruik: gebruiksindicator SNOMED koppeling
ZIB-2153
MedicatieGebruik: RedenGebruik SNOMED koppeling mist
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
Type
Id
Concept
Card.
Definition
DefinitionCode
Reference
NL-CM:9.11.21338
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
0..1
The health professional that entered the medication agreement with the patient.
NL-CM:9.11.21339
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.
NL-CM:9.11.22504
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 that the patient followed.
NL-CM:9.11.22398
1
Date on which this use is entered.
NL-CM:9.11.22663
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.
<b>Start date</b>: This is the time at which the agreement was to take effect (or took effect or will take effect).
<b>Duration</b>: 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.
<b>End date</b>: The time at which the period of use ends (or ended or will end). To avoid confusion between 'to' and 'up until and including', the submission of time is always mandatory for the end date.
NL-CM:9.11.22492
0..1
Is the medicine used as outlined in the medication agreement?
NL-CM:9.11.22399
1
Is this medicine used or not?
NL-CM:9.11.22491
0..1
The reason for using the medication, particularly in self-care medicine purchased by the patient themselves.
NL-CM:9.11.23132
0..1
Stop type, the manner in which this medication is discontinued (temporary or definitive).
NL-CM:9.11.22493
0..*
Reason for changing or discontinuing use of medication.
NL-CM:9.11.21624
0..1
Comments on the medication use.
48767-8 Annotation comment [Interpretation] Narrative
Columns Concept and DefinitionCode: hover over the values for more information
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
4 weken
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: Extensible
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.
ReasonModificationOrDiscontinuationOfUseCodeList
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.9.11.2
Binding: Extensible
Conceptname
Conceptcode
Codesystem name
Codesystem OID
Description
Medication commenced
266709005
SNOMED CT
2.16.840.1.113883.6.96
Starten medicamenteuze behandeling [DEPRECATED]
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
Adverse reaction to drug
62014003
SNOMED CT
2.16.840.1.113883.6.96
Overgevoeligheid
Hypersensitivity condition
473010000
SNOMED CT
2.16.840.1.113883.6.96
Overgevoeligheid [DEPRECATED]
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 increased risk of medication side effect
704417003
SNOMED CT
2.16.840.1.113883.6.96
(Mogelijke) bijwerking [DEPRECATED]
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
112751000146109
SNOMED CT
2.16.840.1.113883.6.96
Beleidswijziging
Admission to establishment
305335007
SNOMED CT
2.16.840.1.113883.6.96
Opname
Patient requested modification of treatment
159711000146106
SNOMED CT
2.16.840.1.113883.6.96
verzoek van zorgafnemer om behandeling te wijzigen Verzoek van zorgafnemer om behandeling te wijzigen
Patient requested treatment
184003006
SNOMED CT
2.16.840.1.113883.6.96
Wens patiënt [DEPRECATED]
Patient takes medication as prescribed
112221000146107
SNOMED CT
2.16.840.1.113883.6.96
Medicatiegebruik van patiënt volgens afspraak
Patient agreed with treatment
112211000146102
SNOMED CT
2.16.840.1.113883.6.96
Volgens afspraak [DEPRECATED]
Treatment previous prescriber continued
112261000146100
SNOMED CT
2.16.840.1.113883.6.96
Hervatten beleid vorige voorschrijver
Change in laboratory test finding
160131000146104
SNOMED CT
2.16.840.1.113883.6.96
Verandering in labwaarde
Drug not available - out of stock
182856006
SNOMED CT
2.16.840.1.113883.6.96
Geneesmiddel niet voorradig
Incorrect registration of medication
159691000146109
SNOMED CT
2.16.840.1.113883.6.96
Foutieve registratie van medicatie
Planned procedure
405613005
SNOMED CT
2.16.840.1.113883.6.96
Procedure waaronder ingreep, interferentie met gepland labonderzoek, etc.
Double registration of medication treatment
180011000146107
SNOMED CT
2.16.840.1.113883.6.96
Loopt in andere medicamenteuze behandeling
Overig
OTH
NullFlavor
2.16.840.1.113883.5.1008
Overig
This information model in other releases 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.<BR>
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
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Downloads This information model is also available as pdf file spreadsheet
About this information The information in this wikipage is based on Prerelease 2024-1
SNOMED Clinical Terms versie: 20240331 [R] (maart 2024-editie)
LOINC version 2.77
Conditions for use are located on the mainpage
MedicationUse
Prescriber::HealthProfessional
or as spreadsheet 