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 professionals.

Instructions

In the G-standard Thesaurus 40, Z-Index uses 2 terms.

1. The contraindication nature: the list of items referred to from MedicationContraIndicationName) and

2. 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.