mp:V9.1 Voorbeelden doseringen: verschil tussen versies
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| Regel 7: | Regel 7: | ||
| − | == | + | === Cyclisch 1 MA === |
| − | |||
| − | |||
====Medicatieafspraken ==== | ====Medicatieafspraken ==== | ||
{| class="wikitable" width="85%" | {| class="wikitable" width="85%" | ||
| − | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatieafspraak met id: MBH- | + | |style="background-color: #1F497D;; color: white; font-weight: bold; text-align:center;" colspan="4" | Medicatieafspraak met id: MBH-cyclisch-1-MA-1 |
|-style="background-color: #1F497D;; color: white; text-align:left;" | |-style="background-color: #1F497D;; color: white; text-align:left;" | ||
|colspan="3" width="25%"| Gegevenselement | |colspan="3" width="25%"| Gegevenselement | ||
| Regel 21: | Regel 19: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Geneesmiddel | |colspan="3"|Geneesmiddel | ||
| − | |style="background-color: white;"| | + | |style="background-color: white;"|DOXYCYCLINE TABLET 100MG |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|Gebruiksperiode | |colspan="3"|Gebruiksperiode | ||
| − | |style="background-color: white;"|Vanaf | + | |style="background-color: white;"|Vanaf 25 sep 2019, gedurende 30 dagen |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="4"|Gebruiksinstructie | |colspan="4"|Gebruiksinstructie | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |rowspan=" | + | |rowspan="7"| |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Omschrijving | |colspan="2"|Omschrijving | ||
| − | |style="background-color: white;"|vanaf | + | |style="background-color: white;"|vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen. |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Toedieningsweg | |colspan="2"|Toedieningsweg | ||
| Regel 37: | Regel 35: | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="2"|Doseerinstructie met volgnummer: 1 | |colspan="2"|Doseerinstructie met volgnummer: 1 | ||
| − | |style="background-color: white;"|dan | + | |style="background-color: white;"|eerst gedurende 3 dagen 2 maal per dag 1 à 2 stuks |
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Doseerinstructie met volgnummer: 2 | ||
| + | |style="background-color: white;"|dan gedurende 2 dagen | ||
| + | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| + | |colspan="2"|Doseerinstructie met volgnummer: 3 | ||
| + | |style="background-color: white;"|dan gedurende 5 dagen 3 maal per dag 1 à 3 stuks | ||
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
| − | |colspan="2"| | + | |colspan="2"|Herhaalperiode cyclisch schema |
| − | |style="background-color: white;"| | + | |style="background-color: white;"|10 |
|-style="vertical-align:top; background-color: #E3E3E3;;" | |-style="vertical-align:top; background-color: #E3E3E3;;" | ||
|colspan="3"|MBH identificatie | |colspan="3"|MBH identificatie | ||
| − | |style="background-color: white;"|MBH- | + | |style="background-color: white;"|MBH-cyclisch-1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) |
|} | |} | ||
====in XML HL7v3 CDA==== | ====in XML HL7v3 CDA==== | ||
| Regel 51: | Regel 55: | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9275"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9275"/> | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9276"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9276"/> | ||
| − | <id extension="MBH- | + | <id extension="MBH-cyclisch-1-MA-1" |
root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/> | root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/> | ||
<code code="16076005" | <code code="16076005" | ||
| Regel 57: | Regel 61: | ||
codeSystem="2.16.840.1.113883.6.96" | codeSystem="2.16.840.1.113883.6.96" | ||
codeSystemName="SNOMED CT"/> | codeSystemName="SNOMED CT"/> | ||
| − | <text mediaType="text/plain">vanaf | + | <text mediaType="text/plain">vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</text> |
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="IVL_TS"> | <effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="IVL_TS"> | ||
| − | <low value=" | + | <low value="20190925000000"/> |
| − | <width value=" | + | <width value="30" unit="d"/> |
</effectiveTime> | </effectiveTime> | ||
<routeCode code="9" | <routeCode code="9" | ||
| Regel 70: | Regel 74: | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/> | ||
<manufacturedMaterial classCode="MMAT" determinerCode="KIND"> | <manufacturedMaterial classCode="MMAT" determinerCode="KIND"> | ||
| − | <code code=" | + | <code code="19844" |
codeSystem="2.16.840.1.113883.2.4.4.10" | codeSystem="2.16.840.1.113883.2.4.4.10" | ||
| − | displayName=" | + | displayName="DOXYCYCLINE TABLET 100MG" |
codeSystemName="G-Standaard PRK"> | codeSystemName="G-Standaard PRK"> | ||
| − | <translation code=" | + | <translation code="22179" |
codeSystem="2.16.840.1.113883.2.4.4.1" | codeSystem="2.16.840.1.113883.2.4.4.1" | ||
| − | displayName=" | + | displayName="DOXYCYCLINE TABLET 100MG" |
codeSystemName="G-Standaard GPK"/> | codeSystemName="G-Standaard GPK"/> | ||
</code> | </code> | ||
| Regel 83: | Regel 87: | ||
</consumable> | </consumable> | ||
<author> | <author> | ||
| − | <time value=" | + | <time value="20190925111500"/> |
<assignedAuthor> | <assignedAuthor> | ||
<id extension="000001111" root="2.16.528.1.1007.3.1"/> | <id extension="000001111" root="2.16.528.1.1007.3.1"/> | ||
| Regel 115: | Regel 119: | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/> | ||
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" | <effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" | ||
| − | |||
operator="A" | operator="A" | ||
| − | isFlexible="true"> | + | xsi:type="SXPR_TS"> |
| − | + | <comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true"> | |
| − | + | <hl7nl:frequency xmlns:hl7nl="urn:hl7-nl:v3"> | |
| − | <hl7nl: | + | <hl7nl:numerator xsi:type="hl7nl:INT" value="2"/> |
| − | + | <hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/> | |
| + | </hl7nl:frequency> | ||
| + | </comp> | ||
| + | <comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true"> | ||
| + | <hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3"> | ||
| + | <hl7nl:width xsi:type="hl7nl:PQ" value="3" unit="d"/> | ||
| + | </hl7nl:phase> | ||
| + | <hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/> | ||
| + | </comp> | ||
</effectiveTime> | </effectiveTime> | ||
<doseQuantity> | <doseQuantity> | ||
| − | < | + | <low value="1" unit="1"> |
<translation value="1" | <translation value="1" | ||
code="245" | code="245" | ||
| Regel 130: | Regel 141: | ||
codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | ||
codeSystemName="G-Standaard thesaurus basiseenheden"/> | codeSystemName="G-Standaard thesaurus basiseenheden"/> | ||
| − | </ | + | </low> |
| − | </doseQuantity> | + | <high value="2" unit="1"> |
| + | <translation value="2" | ||
| + | code="245" | ||
| + | displayName="stuk" | ||
| + | codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | ||
| + | codeSystemName="G-Standaard thesaurus basiseenheden"/> | ||
| + | </high> | ||
| + | </doseQuantity> | ||
<consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/> | <consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/> | ||
</substanceAdministration> | </substanceAdministration> | ||
</entryRelationship> | </entryRelationship> | ||
<entryRelationship typeCode="COMP"> | <entryRelationship typeCode="COMP"> | ||
| − | <sequenceNumber value=" | + | <sequenceNumber value="2"/> |
<substanceAdministration classCode="SBADM" moodCode="RQO"> | <substanceAdministration classCode="SBADM" moodCode="RQO"> | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/> | ||
| Regel 143: | Regel 161: | ||
operator="A" | operator="A" | ||
isFlexible="true"> | isFlexible="true"> | ||
| − | <hl7nl:frequency xmlns:hl7nl="urn:hl7-nl:v3"> | + | <hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3"> |
| − | + | <hl7nl:width xsi:type="hl7nl:PQ" value="2" unit="d"/> | |
| − | <hl7nl: | + | </hl7nl:phase> |
| − | + | <hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/> | |
| + | </effectiveTime> | ||
| + | <consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/> | ||
| + | </substanceAdministration> | ||
| + | </entryRelationship> | ||
| + | <entryRelationship typeCode="COMP"> | ||
| + | <sequenceNumber value="3"/> | ||
| + | <substanceAdministration classCode="SBADM" moodCode="RQO"> | ||
| + | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/> | ||
| + | <effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" | ||
| + | operator="A" | ||
| + | xsi:type="SXPR_TS"> | ||
| + | <comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true"> | ||
| + | <hl7nl:frequency xmlns:hl7nl="urn:hl7-nl:v3"> | ||
| + | <hl7nl:numerator xsi:type="hl7nl:INT" value="3"/> | ||
| + | <hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/> | ||
| + | </hl7nl:frequency> | ||
| + | </comp> | ||
| + | <comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true"> | ||
| + | <hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3"> | ||
| + | <hl7nl:width xsi:type="hl7nl:PQ" value="5" unit="d"/> | ||
| + | </hl7nl:phase> | ||
| + | <hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/> | ||
| + | </comp> | ||
</effectiveTime> | </effectiveTime> | ||
<doseQuantity> | <doseQuantity> | ||
| − | < | + | <low value="1" unit="1"> |
<translation value="1" | <translation value="1" | ||
code="245" | code="245" | ||
| Regel 155: | Regel 196: | ||
codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | ||
codeSystemName="G-Standaard thesaurus basiseenheden"/> | codeSystemName="G-Standaard thesaurus basiseenheden"/> | ||
| − | </ | + | </low> |
| − | + | <high value="3" unit="1"> | |
| − | + | <translation value="3" | |
| − | + | code="245" | |
| − | + | displayName="stuk" | |
| − | + | codeSystem="2.16.840.1.113883.2.4.4.1.900.2" | |
| − | + | codeSystemName="G-Standaard thesaurus basiseenheden"/> | |
| − | + | </high> | |
| − | </ | + | </doseQuantity> |
| − | </ | + | <consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/> |
</substanceAdministration> | </substanceAdministration> | ||
</entryRelationship> | </entryRelationship> | ||
| Regel 170: | Regel 211: | ||
<procedure classCode="PROC" moodCode="EVN"> | <procedure classCode="PROC" moodCode="EVN"> | ||
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/> | <templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/> | ||
| − | <id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH- | + | <id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-cyclisch-1"/> |
<code code="1" | <code code="1" | ||
displayName="Medicamenteuze behandeling" | displayName="Medicamenteuze behandeling" | ||
| Regel 190: | Regel 231: | ||
<div xmlns="http://www.w3.org/1999/xhtml"> | <div xmlns="http://www.w3.org/1999/xhtml"> | ||
<table> | <table> | ||
| − | <caption>Medicatieafspraak. Subject: Antonius XXX_Verweij<div>Id: MBH- | + | <caption>Medicatieafspraak. Subject: Antonius XXX_Verweij<div>Id: MBH-cyclisch-1-MA-1 (urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1), Categorie: <span title="Prescription (procedure) (16076005 - SNOMED CT)">Prescription (procedure)</span>, <br/>Intentie: aanvraag</div> |
<div>Aangevraagd door: Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners</div> | <div>Aangevraagd door: Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners</div> | ||
</caption> | </caption> | ||
| Regel 196: | Regel 237: | ||
<tr> | <tr> | ||
<th>Medicamenteuze behandel-id</th> | <th>Medicamenteuze behandel-id</th> | ||
| − | <td>MBH- | + | <td>MBH-cyclisch-1 (urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1)</td> |
| + | </tr> | ||
| + | <tr> | ||
| + | <th>Herhaalperiode cyclisch schedule</th> | ||
| + | <td>10 d</td> | ||
</tr> | </tr> | ||
<tr> | <tr> | ||
| Regel 202: | Regel 247: | ||
<td> | <td> | ||
<ul> | <ul> | ||
| − | <li>Vanaf | + | <li>Vanaf 2019-09-25T00:00:00+02:00</li> |
| − | <li> | + | <li>30 dag</li> |
</ul> | </ul> | ||
</td> | </td> | ||
| Regel 211: | Regel 256: | ||
<td> | <td> | ||
<div>Volgnummer: 1</div> | <div>Volgnummer: 1</div> | ||
| − | <div>Tekst: vanaf | + | <div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div> |
| − | <div>Timing: <div> | + | <div>Timing: <div>3 dag, 2 maal per dag</div> |
</div> | </div> | ||
<div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span> | <div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span> | ||
| Regel 221: | Regel 266: | ||
<th>Doseerinstructie</th> | <th>Doseerinstructie</th> | ||
<td> | <td> | ||
| − | <div> | + | <div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div> |
| − | <div> | + | <div>Timing: <div>2 dag</div> |
| − | <div> | + | </div> |
| + | <div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span> | ||
</div> | </div> | ||
| − | <div> | + | </td> |
| + | </tr> | ||
| + | <tr> | ||
| + | <th>Doseerinstructie</th> | ||
| + | <td> | ||
| + | <div>Volgnummer: 3</div> | ||
| + | <div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div> | ||
| + | <div>Timing: <div>5 dag, 3 maal per dag</div> | ||
</div> | </div> | ||
<div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span> | <div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span> | ||
| Regel 237: | Regel 290: | ||
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse"> | <extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse"> | ||
<valuePeriod> | <valuePeriod> | ||
| − | <start value=" | + | <start value="2019-09-25T00:00:00+02:00"/> |
</valuePeriod> | </valuePeriod> | ||
</extension> | </extension> | ||
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"> | <extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration"> | ||
<valueDuration> | <valueDuration> | ||
| − | <value value=" | + | <value value="30"/> |
<unit value="dag"/> | <unit value="dag"/> | ||
<system value="http://unitsofmeasure.org"/> | <system value="http://unitsofmeasure.org"/> | ||
| Regel 251: | Regel 304: | ||
<valueIdentifier> | <valueIdentifier> | ||
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/> | <system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/> | ||
| − | <value value="MBH- | + | <value value="MBH-cyclisch-1"/> |
</valueIdentifier> | </valueIdentifier> | ||
</extension> | </extension> | ||
| + | <modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule"> | ||
| + | <valueDuration> | ||
| + | <value value="10"/> | ||
| + | <unit value="d"/> | ||
| + | <system value="http://unitsofmeasure.org"/> | ||
| + | <code value="d"/> | ||
| + | </valueDuration> | ||
| + | </modifierExtension> | ||
<identifier> | <identifier> | ||
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/> | <system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/> | ||
| − | <value value="MBH- | + | <value value="MBH-cyclisch-1-MA-1"/> |
</identifier> | </identifier> | ||
<intent value="order"/> | <intent value="order"/> | ||
| Regel 268: | Regel 329: | ||
</category> | </category> | ||
<subject> | <subject> | ||
| − | <reference value="urn:uuid: | + | <reference value="urn:uuid:6a39b6bb-3f7d-11ea-1668-020000000000"/> |
<display value="Antonius XXX_Verweij"/> | <display value="Antonius XXX_Verweij"/> | ||
</subject> | </subject> | ||
| Regel 275: | Regel 336: | ||
<extension url="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"> | <extension url="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"> | ||
<valueReference> | <valueReference> | ||
| − | <reference value="urn:uuid: | + | <reference value="urn:uuid:6a39ca21-3f7d-11ea-1668-020000000000"/> |
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/> | <display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/> | ||
</valueReference> | </valueReference> | ||
| Regel 285: | Regel 346: | ||
<dosageInstruction> | <dosageInstruction> | ||
<sequence value="1"/> | <sequence value="1"/> | ||
| − | <text value="vanaf | + | <text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/> |
<timing> | <timing> | ||
<repeat> | <repeat> | ||
| − | <frequency value=" | + | <boundsDuration> |
| + | <value value="3"/> | ||
| + | <unit value="dag"/> | ||
| + | <system value="http://unitsofmeasure.org"/> | ||
| + | <code value="d"/> | ||
| + | </boundsDuration> | ||
| + | <frequency value="2"/> | ||
<period value="1"/> | <period value="1"/> | ||
<periodUnit value="d"/> | <periodUnit value="d"/> | ||
| Regel 300: | Regel 367: | ||
</coding> | </coding> | ||
</route> | </route> | ||
| − | < | + | <doseRange> |
| − | <value value="1"/> | + | <low> |
| − | <unit value="stuk"/> | + | <value value="1"/> |
| − | + | <unit value="stuk"/> | |
| − | + | <system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/> | |
| − | </ | + | <code value="245"/> |
| + | </low> | ||
| + | <high> | ||
| + | <value value="2"/> | ||
| + | <unit value="stuk"/> | ||
| + | <system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/> | ||
| + | <code value="245"/> | ||
| + | </high> | ||
| + | </doseRange> | ||
</dosageInstruction> | </dosageInstruction> | ||
<dosageInstruction> | <dosageInstruction> | ||
| − | + | <text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/> | |
| − | <text value="vanaf | ||
<timing> | <timing> | ||
<repeat> | <repeat> | ||
| − | < | + | <boundsDuration> |
| − | + | <value value="2"/> | |
| − | + | <unit value="dag"/> | |
| + | <system value="http://unitsofmeasure.org"/> | ||
| + | <code value="d"/> | ||
| + | </boundsDuration> | ||
</repeat> | </repeat> | ||
</timing> | </timing> | ||
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<route> | <route> | ||
<coding> | <coding> | ||
| Regel 331: | Regel 401: | ||
</coding> | </coding> | ||
</route> | </route> | ||
| − | |||
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</dosageInstruction> | </dosageInstruction> | ||
| − | + | <dosageInstruction> | |
| − | + | <sequence value="3"/> | |
| − | + | <text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 | |
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</dosageInstruction> | </dosageInstruction> | ||
</MedicationRequest> | </MedicationRequest> | ||
</syntaxhighlight> | </syntaxhighlight> | ||
{{Collapse bottom}} | {{Collapse bottom}} | ||
Versie van 25 jan 2020 14:17
{{#customtitle:Medicatieproces 9.1: Voorbeelden doseringen}}
1 Voorbeelden doseringen
Deze paragraaf bevat uitgewerkte voorbeelden voor het concept "Gebruiksinstructie" uit de dataset van de Informatiestandaard Medicatieproces. Deze uitwerking is bedoeld als illustratie van de mogelijkheden die deze structuur biedt. De voorbeelden zijn ontleend aan zowel ambulante als instellingsmedicatie en dus niet altijd voor iedereen direct relevant. De software dient hierbij de eindgebruiker adequaat te ondersteunen.
1.1 Cyclisch 1 MA
1.1.1 Medicatieafspraken
| Medicatieafspraak met id: MBH-cyclisch-1-MA-1 | |||
| Gegevenselement | Waarde | ||
| Geneesmiddel | DOXYCYCLINE TABLET 100MG | ||
| Gebruiksperiode | Vanaf 25 sep 2019, gedurende 30 dagen | ||
| Gebruiksinstructie | |||
| Omschrijving | vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen. | ||
| Toedieningsweg | oraal | ||
| Doseerinstructie met volgnummer: 1 | eerst gedurende 3 dagen 2 maal per dag 1 à 2 stuks | ||
| Doseerinstructie met volgnummer: 2 | dan gedurende 2 dagen | ||
| Doseerinstructie met volgnummer: 3 | dan gedurende 5 dagen 3 maal per dag 1 à 3 stuks | ||
| Herhaalperiode cyclisch schema | 10 | ||
| MBH identificatie | MBH-cyclisch-1 (in identificerend systeem: 2.16.840.1.113883.2.4.3.11.999.77.1.1) | ||
1.1.2 in XML HL7v3 CDA
| XML contents |
|---|
<substanceAdministration xmlns="urn:hl7-org:v3" classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9275"/>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9276"/>
<id extension="MBH-cyclisch-1-MA-1"
root="2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<code code="16076005"
displayName="Medicatieafspraak"
codeSystem="2.16.840.1.113883.6.96"
codeSystemName="SNOMED CT"/>
<text mediaType="text/plain">vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</text>
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:type="IVL_TS">
<low value="20190925000000"/>
<width value="30" unit="d"/>
</effectiveTime>
<routeCode code="9"
codeSystem="2.16.840.1.113883.2.4.4.9"
displayName="oraal"
codeSystemName="G-Standaard Toedieningswegen (tabel 7)"/>
<consumable>
<manufacturedProduct>
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9254"/>
<manufacturedMaterial classCode="MMAT" determinerCode="KIND">
<code code="19844"
codeSystem="2.16.840.1.113883.2.4.4.10"
displayName="DOXYCYCLINE TABLET 100MG"
codeSystemName="G-Standaard PRK">
<translation code="22179"
codeSystem="2.16.840.1.113883.2.4.4.1"
displayName="DOXYCYCLINE TABLET 100MG"
codeSystemName="G-Standaard GPK"/>
</code>
</manufacturedMaterial>
</manufacturedProduct>
</consumable>
<author>
<time value="20190925111500"/>
<assignedAuthor>
<id extension="000001111" root="2.16.528.1.1007.3.1"/>
<code code="0100"
codeSystem="2.16.840.1.113883.2.4.6.7"
displayName="Huisartsen, niet nader gespecificeerd"
codeSystemName="COD016-VEKT (Vektis Zorgverlenersspecificatie (subberoepsgroep))"
codeSystemVersion="2017-12-14T00:00:00"/>
<assignedPerson>
<name>
<given qualifier="BR">Peter</given>
<prefix qualifier="VV">van </prefix>
<family qualifier="BR">Pulver</family>
</name>
</assignedPerson>
<representedOrganization>
<id extension="00001111" root="2.16.528.1.1007.3.3"/>
<name>Huisartsenpraktijk Pulver & Partners</name>
<addr use="WP">
<streetName>Dorpsstraat</streetName>
<houseNumber>1</houseNumber>
<postalCode>1234 AA</postalCode>
<city>Ons Dorp</city>
</addr>
</representedOrganization>
</assignedAuthor>
</author>
<entryRelationship typeCode="COMP">
<sequenceNumber value="1"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/>
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
operator="A"
xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency xmlns:hl7nl="urn:hl7-nl:v3">
<hl7nl:numerator xsi:type="hl7nl:INT" value="2"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3">
<hl7nl:width xsi:type="hl7nl:PQ" value="3" unit="d"/>
</hl7nl:phase>
<hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1"
code="245"
displayName="stuk"
codeSystem="2.16.840.1.113883.2.4.4.1.900.2"
codeSystemName="G-Standaard thesaurus basiseenheden"/>
</low>
<high value="2" unit="1">
<translation value="2"
code="245"
displayName="stuk"
codeSystem="2.16.840.1.113883.2.4.4.1.900.2"
codeSystemName="G-Standaard thesaurus basiseenheden"/>
</high>
</doseQuantity>
<consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="2"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/>
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
xsi:type="hl7nl:PIVL_TS"
operator="A"
isFlexible="true">
<hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3">
<hl7nl:width xsi:type="hl7nl:PQ" value="2" unit="d"/>
</hl7nl:phase>
<hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/>
</effectiveTime>
<consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP">
<sequenceNumber value="3"/>
<substanceAdministration classCode="SBADM" moodCode="RQO">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9309"/>
<effectiveTime xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"
operator="A"
xsi:type="SXPR_TS">
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:frequency xmlns:hl7nl="urn:hl7-nl:v3">
<hl7nl:numerator xsi:type="hl7nl:INT" value="3"/>
<hl7nl:denominator unit="d" value="1" xsi:type="hl7nl:PQ"/>
</hl7nl:frequency>
</comp>
<comp xsi:type="hl7nl:PIVL_TS" operator="A" isFlexible="true">
<hl7nl:phase xmlns:hl7nl="urn:hl7-nl:v3">
<hl7nl:width xsi:type="hl7nl:PQ" value="5" unit="d"/>
</hl7nl:phase>
<hl7nl:period xmlns:hl7nl="urn:hl7-nl:v3" value="10" unit="d"/>
</comp>
</effectiveTime>
<doseQuantity>
<low value="1" unit="1">
<translation value="1"
code="245"
displayName="stuk"
codeSystem="2.16.840.1.113883.2.4.4.1.900.2"
codeSystemName="G-Standaard thesaurus basiseenheden"/>
</low>
<high value="3" unit="1">
<translation value="3"
code="245"
displayName="stuk"
codeSystem="2.16.840.1.113883.2.4.4.1.900.2"
codeSystemName="G-Standaard thesaurus basiseenheden"/>
</high>
</doseQuantity>
<consumable xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:nil="true"/>
</substanceAdministration>
</entryRelationship>
<entryRelationship typeCode="COMP" inversionInd="true">
<procedure classCode="PROC" moodCode="EVN">
<templateId root="2.16.840.1.113883.2.4.3.11.60.20.77.10.9084"/>
<id root="2.16.840.1.113883.2.4.3.11.999.77.1.1" extension="MBH-cyclisch-1"/>
<code code="1"
displayName="Medicamenteuze behandeling"
codeSystem="2.16.840.1.113883.2.4.3.11.60.20.77.5.3"/>
</procedure>
</entryRelationship>
</substanceAdministration>
|
1.1.3 in XML HL7 FHIR
| XML contents |
|---|
<MedicationRequest xmlns="http://hl7.org/fhir">
<meta>
<profile value="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationAgreement"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<caption>Medicatieafspraak. Subject: Antonius XXX_Verweij<div>Id: MBH-cyclisch-1-MA-1 (urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1), Categorie: <span title="Prescription (procedure) (16076005 - SNOMED CT)">Prescription (procedure)</span>, <br/>Intentie: aanvraag</div>
<div>Aangevraagd door: Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners</div>
</caption>
<tbody>
<tr>
<th>Medicamenteuze behandel-id</th>
<td>MBH-cyclisch-1 (urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1)</td>
</tr>
<tr>
<th>Herhaalperiode cyclisch schedule</th>
<td>10 d</td>
</tr>
<tr>
<th>Gebruiksduur</th>
<td>
<ul>
<li>Vanaf 2019-09-25T00:00:00+02:00</li>
<li>30 dag</li>
</ul>
</td>
</tr>
<tr>
<th>Doseerinstructie</th>
<td>
<div>Volgnummer: 1</div>
<div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div>
<div>Timing: <div>3 dag, 2 maal per dag</div>
</div>
<div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span>
</div>
</td>
</tr>
<tr>
<th>Doseerinstructie</th>
<td>
<div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div>
<div>Timing: <div>2 dag</div>
</div>
<div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span>
</div>
</td>
</tr>
<tr>
<th>Doseerinstructie</th>
<td>
<div>Volgnummer: 3</div>
<div>Tekst: vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen.</div>
<div>Timing: <div>5 dag, 3 maal per dag</div>
</div>
<div>Toedieningsweg: <span title="oraal (9 - G-Standaard thesaurus subtabel 0007)">oraal</span>
</div>
</td>
</tr>
</tbody>
</table>
</div>
</text>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-PeriodOfUse">
<valuePeriod>
<start value="2019-09-25T00:00:00+02:00"/>
</valuePeriod>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-MedicationUse-Duration">
<valueDuration>
<value value="30"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</extension>
<extension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-MedicationTreatment">
<valueIdentifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.1.1"/>
<value value="MBH-cyclisch-1"/>
</valueIdentifier>
</extension>
<modifierExtension url="http://nictiz.nl/fhir/StructureDefinition/zib-Medication-RepeatPeriodCyclicalSchedule">
<valueDuration>
<value value="10"/>
<unit value="d"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</valueDuration>
</modifierExtension>
<identifier>
<system value="urn:oid:2.16.840.1.113883.2.4.3.11.999.77.16076005.1"/>
<value value="MBH-cyclisch-1-MA-1"/>
</identifier>
<intent value="order"/>
<category>
<coding>
<system value="http://snomed.info/sct"/>
<code value="16076005"/>
<display value="Prescription (procedure)"/>
</coding>
<text value="Medicatieafspraak"/>
</category>
<subject>
<reference value="urn:uuid:6a39b6bb-3f7d-11ea-1668-020000000000"/>
<display value="Antonius XXX_Verweij"/>
</subject>
<requester>
<agent>
<extension url="http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference">
<valueReference>
<reference value="urn:uuid:6a39ca21-3f7d-11ea-1668-020000000000"/>
<display value="Peter van Pulver || Huisartsen, niet nader gespecificeerd || Huisartsenpraktijk Pulver & Partners"/>
</valueReference>
</extension>
<reference value="urn:oid:2.16.528.1.1007.3.1.1111"/>
<display value="Peter van Pulver"/>
</agent>
</requester>
<dosageInstruction>
<sequence value="1"/>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="3"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="2"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
<dosageInstruction>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="2"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
</dosageInstruction>
<dosageInstruction>
<sequence value="3"/>
<text value="vanaf 25/9/2019, gedurende 30 dagen, steeds 2x daags 1 à 2 tabletten voor een duur van 3 dagen, pauze van 2 dagen, gevolgd door 3x daags 1 tot 3 tabletten gedurende 5 dagen, dit iedere 10 dagen herhalen."/>
<timing>
<repeat>
<boundsDuration>
<value value="5"/>
<unit value="dag"/>
<system value="http://unitsofmeasure.org"/>
<code value="d"/>
</boundsDuration>
<frequency value="3"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="urn:oid:2.16.840.1.113883.2.4.4.9"/>
<code value="9"/>
<display value="oraal"/>
</coding>
</route>
<doseRange>
<low>
<value value="1"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</low>
<high>
<value value="3"/>
<unit value="stuk"/>
<system value="urn:oid:2.16.840.1.113883.2.4.4.1.900.2"/>
<code value="245"/>
</high>
</doseRange>
</dosageInstruction>
</MedicationRequest>
|