Update bot: Copy of

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← Oudere versie		Versie van 20 feb 2018 11:04
Regel 346:		Regel 346:
	<ul>		<ul>
	<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.8.3&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg\|16px\|link=]]]</li>		<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2017bbr-?id=2.16.840.1.113883.2.4.3.11.60.7.4.2.8.3&effectiveDate=2017-09-04T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg\|16px\|link=]]]</li>
	<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=~~StructureDefinition~~ [[File:fhir.png\|link=]]]</li>		<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR [https://simplifier.net/NictizSTU3/~resources?text=zib&category=Profile [[File:fhir.png\|link=]]]</li>
	</ul>		</ul>
	This information model is also available as [[Media:nl.zorg.Alert-v3.1(2017EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.Alert-v3.1(2017EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.zorg.Alert-v3.1(2017EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.Alert-v3.1(2017EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]

Update bot op 30 nov 2017 om 12:41

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Update bot op 28 sep 2017 om 09:27

2017-09-28T09:27:08Z

← Oudere versie		Versie van 28 sep 2017 11:27
Regel 335:		Regel 335:
	==More on this information model==		==More on this information model==
	More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.8.3] <BR>		More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.8.3] <BR>
	This information model is also available as [[Media:nl.zorg.Alert-v3.1(EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.Alert-v3.1(EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]		This information model is also available as [[Media:nl.zorg.Alert-v3.1(2017EN).pdf\|pdf file]] [[File:PDF.png\|link=]] or as [[Media:nl.zorg.Alert-v3.1(2017EN).xlsx\|spreadsheet]] [[File:xlsx.png\|link=]]
	==About this information==		==About this information==
	The information in this wikipage is based on Prerelease 2017 #1 <BR>		The information in this wikipage is based on Prerelease 2017 #1 <BR>
	Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>		Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>
	This page is generated on 21/09/2017 17:54:09 <BR>		This page is generated on 28/09/2017 10:56:46 <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) \|Back to HCIM list ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) \|Back to HCIM list ]]</div>

Update bot op 21 sep 2017 om 16:01

2017-09-21T16:01:33Z

← Oudere versie		Versie van 21 sep 2017 18:01
Regel 339:		Regel 339:
	The information in this wikipage is based on Prerelease 2017 #1 <BR>		The information in this wikipage is based on Prerelease 2017 #1 <BR>
	Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>		Conditions for use are located on the mainpage [[Bestand:list2.png\|link=HCIM_Mainpage]]<BR>
	This page is generated on 21/09/2017 13:49:44 <BR>		This page is generated on 21/09/2017 17:54:09 <BR>
	-----		-----
	<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) \|Back to HCIM list ]]</div>		<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png\| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) \|Back to HCIM list ]]</div>

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Alert''' link=Alert-v3.1(2017NL)
Version: '''3.1'''
HCIM Status:Final
Publication: '''2...'

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==General information==
Name: '''nl.zorg.Alert''' [[Bestand:NL.png|link=Alert-v3.1(2017NL)]] 
Version: '''3.1''' 
HCIM Status:Final 
Publication: '''2017''' 
Release status: Prepublished 
Publication date: 04-09-2017
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

==Metadata==
{| class="wikitable" style="font-size:90%; width: 750px"
|-
|style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::ContactInformation.Address||*
|-
|style="width:250px; "|DCM::ContactInformation.Name||*
|-
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::CreationDate||15-12-2014
|-
|style="width:250px; "|DCM::DeprecatedDate||
|-
|style="width:250px; "|DCM::DescriptionLanguage||nl
|-
|style="width:250px; "|DCM::EndorsingAuthority.Address||
|-
|style="width:250px; "|DCM::EndorsingAuthority.Name||PM
|-
|style="width:250px; "|DCM::EndorsingAuthority.Telecom||
|-
|style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.8.3
|-
|style="width:250px; "|DCM::KeywordList||alerts, alert, waarschuwing
|-
|style="width:250px; "|DCM::LifecycleStatus||Final
|-
|style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::Name||nl.zorg.Alert
|-
|style="width:250px; "|DCM::PublicationDate||04-09-2017
|-
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|-
|style="width:250px; "|DCM::RevisionDate||04-09-2017
|-
|style="width:250px; "|DCM::Superseeds||nl.zorg.Alert-v3.0
|-
|style="width:250px; "|DCM::Version||3.1
|-
|style="width:250px; "|HCIM::PublicationLanguage||EN
|}

==Revision History==
<div class="mw-collapsible mw-collapsed">
''Only available in Dutch''

Publicatieversie 1.0 (01-04-2015)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-109 | ZIB-109 ]]
|Onduidelijk wat wel/niet onderdeel uitmaakt van bouwsteen OverdrachtAlert; definities aanpassen
|-
|style="width:75px; "|[[ZIBIssues#ZIB-132 | ZIB-132 ]]
|Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst AlertTypeCodelijst n.a.v. review terminologie expert.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-203 | ZIB-203 ]]
|In de klinische bouwsteen OverdrachtAlert DCM::ValueSet SNOMED CT aangepast van concept AlertOmschrijving naar tagged value DCM::ContentExpression.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-204 | ZIB-204 ]]
|In de klinische bouwsteen OverdrachtAlert DCM::ValueSet G-Standaard aangepast van concept AlertOmschrijving.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-306 | ZIB-306 ]]
|Aanpassen modellering keuzebox, boundary en cardinaliteit
|-
|style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|-
|style="width:75px; "|[[ZIBIssues#ZIB-352 | ZIB-352 ]]
|Opsplitsen bouwsteen OverdrachtAlert
|}

Incl. algemene wijzigingsverzoeken:
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}

Publicatieversie 3.0 (01-05-2016)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-438 | ZIB-438 ]]
|Geen informatie
|-
|style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|-
|style="width:75px; "|[[ZIBIssues#ZIB-574 | ZIB-574 ]]
|Alleen verwijzen naar het rootconcept van de ZIB.
|}

Publicatieversie 3.1 (04-09-2017)
{|
|-
|style="width:75px; "|[[ZIBIssues#ZIB-546 | ZIB-546 ]]
|Toevoegen ' Melding kindermishandeling' aan het waardenlijst AlertnaamCodelijst
|}
</div>

==Concept==
An alert describes a clinical or administrative fact brought to the attention of the users of the clinical systems to be taken into account when shaping diagnostic and therapeutic policy or in dealing with the patient, usually because of a safety risk. 
Disorders that describe the body’s sensitivity to a substance which results in a specific physiological reaction after being exposed to that substance are referred to as allergies. These are described in a separate information model. 
Warnings for non-allergic disorders can concern: 
<ul>
<li>A disorder (condition or diagnosis which can be considered as a contraindication for the use of groups of medication or undergoing a certain type of therapy), such as pregnancy or long QT syndrome </li>
</ul>
<ul>
<li>Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system) </li>
</ul>
<ul>
<li>Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus) </li>
</ul>
<ul>
<li>Other risks</li>
</ul>

==Purpose==
Documenting and entering disorders or conditions that require attention is an important part of medical registration. It concerns the core of patient safety. In the execution of research and treatment, these patient characteristics - which are marked as a warning - constantly have to be taken into account. They provide information that is important for the patient’s condition and the options a healthcare provider has for therapy. Disorders that are registered or transferred as an Alert can also be described as a Problem. The difference is in the fact that the healthcare provider considers the problem as an Alert = warning. In many cases, transfer will be subject to strict privacy rules, as the warning will not always elicit an adequate reaction in the informed environment.

==Information Model==
 
[[Bestand: Alert-v3.1Model(EN).png | center]]
 
{| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"
|-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "
|style="width:30px;"|Type||style="width:100px;"|Id||colspan="6 " style="width:140px;"|Concept||Card.||style="width: 600px;"|Definition||style="width:200px;"|DefinitionCode||style="width:200px;"|Reference
|-style="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
||NL-CM:8.3.1
|colspan ="6" style ="padding-left: 0px"|[[Bestand: arrowdown.png | 10px]]Alert
|
|Root concept of the Alert information model. This root concept contains all data elements of the Alert information model.
|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
||NL-CM:8.3.3
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]Condition::Concern
|(0..1)
|The patient’s health problem or condition that is the subject of the alert. This could involve a patient’s problem, condition or diagnosis that is seen as a contraindication in prescribing medication or which has to be taken into account when shaping diagnostic and therapeutic policy. This can be in the patient’s own interest, or it can involve a problem or disorder that can make the patient a risk to their surroundings, such as an infection hazard. These are references to conditions included on the patient’s problem list.

If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the Problem information model should be used.

|
|
{|
|-
|[[Bestand: block.png]]||[[Problem-v4.0(2017EN) |Problem]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:8.3.4
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]AlertName
|(0..1)
|A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.
The warning can be entered in code (there are codes for frequently used alerts), but seeing the dynamic nature of the warnings cf. SARS and Ebola, these alerts will often be entered as free text.

|
|
{|
|-
|[[Bestand: List2.png]]||[[#AlertNameCodelist|AlertNameCodelist]]
|}
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
||NL-CM:8.3.5
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]StartDateTime
|0..1
|The date and time at which the described condition was entered as a warning.
This can be an exact date and time, or a rough indication of the date (such as only the year, or the month and the year).

|
|
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
||NL-CM:8.3.6
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |
|colspan ="5" style ="padding-left: 0px"|[[Bestand: arrowright.png | 10px]]AlertType
|1..1
|Indicates the type of alert, meaning a rough description of the cause or origin of the warning.
|
|
{|
|-
|[[Bestand: List2.png]]||[[#AlertTypeCodelist|AlertTypeCodelist]]
|}
|}
Columns Concept and DefinitionCode: hover over the values for more information 
For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]

==Example Instances==
''Only available in Dutch''

{|class="wikitable" width="544px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 26%; color: #FFFFFF; font-weight: bold; "|AlertType
| style="background-color: #1F497D; width: 43%; color: #FFFFFF; font-weight: bold; "|BegindatumTijd
| style="background-color: #1F497D; width: 31%; color: #FFFFFF; font-weight: bold; "|Conditie
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 69%; "|
| style="background-color: #548DD4; width: 31%; color: #FFFFFF; font-weight: bold; "|ProbleemNaam
|-style=vertical-align:top;
| style="width: 26%; "|Conditie
| style="width: 43%; "|15-9-2012
| style="width: 31%; "|Zwanger
|-style=vertical-align:top;
| style="width: 26%; "|
| style="width: 43%; "|
| style="width: 31%; "|
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 26%; color: #FFFFFF; font-weight: bold; "|AlertType
| style="background-color: #1F497D; width: 43%; color: #FFFFFF; font-weight: bold; "|BegindatumTijd
| style="background-color: #1F497D; width: 31%; color: #FFFFFF; font-weight: bold; "|AlertNaam
|-style=vertical-align:top;
| style="width: 26%; "|Waarschuwing
| style="width: 43%; "|01-06-2010
| style="width: 31%; "|Drager MRSA
|}

== Valuesets ==
=== AlertNameCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|Infectious disease carrier
|66598005
|SNOMED CT
|2.16.840.1.113883.6.96
|Drager van besmettelijke ziekte
|-style="vertical-align:top; "
|Methicillin resistant staphylococcus aureus carrier
|432415000
|SNOMED CT
|2.16.840.1.113883.6.96
|Drager MRSA
|-style="vertical-align:top; "
|Carrier of vancomycin resistant enterococcus
|431109006
|SNOMED CT
|2.16.840.1.113883.6.96
|Drager VRE
|-style="vertical-align:top; "
|Human immunodeficiency virus (HIV) carrier
|699433000
|SNOMED CT
|2.16.840.1.113883.6.96
|Drager HIV
|-style="vertical-align:top; "
|Victim of child abuse
|397940009
|SNOMED CT
|2.16.840.1.113883.6.96
|Kindermishandeling
|-style="vertical-align:top; "
|Other
|OTH
|NullFlavor
|2.16.840.1.113883.5.1008
|Anders
|}

=== AlertTypeCodelist===
{| class="wikitable" width="60%"
|-style='vertical-align:top; background-color: #E8D7BE;'
|Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1
|}
{| class="wikitable" width="60% "
|-style="background-color: #1F497D; color: white; font-weight: bold; "
|Conceptname
|Conceptcode
|Codesystem name||Codesystem OID
|Description
|-style="vertical-align:top; "
|condition
|75323-6
|LOINC
|2.16.840.1.113883.6.1
|conditie
|-style="vertical-align:top; "
|alert
|74018-3
|LOINC
|2.16.840.1.113883.6.1
|waarschuwing
|}

==More on this information model==
More technical information and HL7/XML documentation you can find on the Nictiz Art-Decor page about this information model[http://decor.nictiz.nl/art-decor/decor-datasets--zib1bbr-?id=2.16.840.1.113883.2.4.3.11.60.40.3.8.3] 
This information model is also available as [[Media:nl.zorg.Alert-v3.1(EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Alert-v3.1(EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
The information in this wikipage is based on Prerelease 2017 #1 
Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]] 
This page is generated on 21/09/2017 13:49:44 
-----
<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2017(EN)]] [[HCIM_Release_2017(EN) |Back to HCIM list ]]</div>

Alert-v3.1(2017EN) - Bewerkingsoverzicht

Update bot: Copy of

Update bot op 30 nov 2017 om 12:41

Update bot op 28 sep 2017 om 09:27

Update bot op 21 sep 2017 om 16:01

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Alert''' link=Alert-v3.1(2017NL) Version: '''3.1''' HCIM Status:Final Publication: '''2...'

Update bot: Nieuwe pagina aangemaakt met '==General information== Name: '''nl.zorg.Alert''' link=Alert-v3.1(2017NL)
Version: '''3.1'''
HCIM Status:Final
Publication: '''2...'