Alert-v3.2(2018EN) - Bewerkingsoverzicht

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<p>Nieuwe pagina aangemaakt met ' {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.8.3(EN)|1|Alert-v3.2(2018EN)}} <br /> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.8.3(EN)|1|Alert-v3.2(2018EN)}}<br /> <br /> ==General information==<br /> Name: '''nl.zorg.Alert''' [[Bestand:NL.png|link=Alert-v3.2(2018NL)]]<BR><br /> Version: '''3.2''' <br><br /> HCIM Status:Final<br><br /> Release: '''2018''' <br><br /> Release status: Prepublished<br><br /> Release date: 01-10-2018<br /> -----<br /> <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2018(EN)]] [[HCIM_Release_2018(EN) |Back to HCIM list ]]</div><br /> <br /> ==Metadata==<br /> {| class="wikitable" style="font-size:90%; width: 750px"<br /> |- <br /> |style="width:250px; "|DCM::CoderList||Kerngroep Registratie aan de Bron<br /> |- <br /> |style="width:250px; "|DCM::ContactInformation.Address||*<br /> |- <br /> |style="width:250px; "|DCM::ContactInformation.Name||*<br /> |- <br /> |style="width:250px; "|DCM::ContactInformation.Telecom||*<br /> |- <br /> |style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron<br /> |- <br /> |style="width:250px; "|DCM::CreationDate||15-12-2014<br /> |- <br /> |style="width:250px; "|DCM::DeprecatedDate||<br /> |- <br /> |style="width:250px; "|DCM::DescriptionLanguage||nl<br /> |- <br /> |style="width:250px; "|DCM::EndorsingAuthority.Address||<br /> |- <br /> |style="width:250px; "|DCM::EndorsingAuthority.Name||PM<br /> |- <br /> |style="width:250px; "|DCM::EndorsingAuthority.Telecom||<br /> |- <br /> |style="width:250px; "|DCM::Id||2.16.840.1.113883.2.4.3.11.60.40.3.8.3<br /> |- <br /> |style="width:250px; "|DCM::KeywordList||alerts, alert, waarschuwing<br /> |- <br /> |style="width:250px; "|DCM::LifecycleStatus||Final<br /> |- <br /> |style="width:250px; "|DCM::ModelerList||Kerngroep Registratie aan de Bron<br /> |- <br /> |style="width:250px; "|DCM::Name||nl.zorg.Alert<br /> |- <br /> |style="width:250px; "|DCM::PublicationDate||01-10-2018<br /> |- <br /> |style="width:250px; "|DCM::PublicationStatus||Prepublished<br /> |- <br /> |style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron<br /> |- <br /> |style="width:250px; "|DCM::RevisionDate||31-12-2017<br /> |- <br /> |style="width:250px; "|DCM::Superseeds||nl.zorg.Alert-v3.1<br /> |- <br /> |style="width:250px; "|DCM::Version||3.2<br /> |- <br /> |style="width:250px; "|HCIM::PublicationLanguage||EN<br /> |}<br /> <br /> ==Revision History==<br /> <div class="mw-collapsible mw-collapsed"><br /> ''Only available in Dutch''<br /> <br /> <u>Publicatieversie 1.0</u> (01-04-2015)<br /> {|<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-109 | ZIB-109 ]]<br /> |Onduidelijk wat wel/niet onderdeel uitmaakt van bouwsteen OverdrachtAlert; definities aanpassen<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-132 | ZIB-132 ]]<br /> |Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst AlertTypeCodelijst n.a.v. review terminologie expert.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-203 | ZIB-203 ]]<br /> |In de klinische bouwsteen OverdrachtAlert DCM::ValueSet SNOMED CT aangepast van concept AlertOmschrijving naar tagged value DCM::ContentExpression.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-204 | ZIB-204 ]]<br /> |In de klinische bouwsteen OverdrachtAlert DCM::ValueSet G-Standaard aangepast van concept AlertOmschrijving.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-306 | ZIB-306 ]]<br /> |Aanpassen modellering keuzebox, boundary en cardinaliteit<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-308 | ZIB-308 ]]<br /> |Prefix Overdracht weggehaald bij de generieke bouwstenen<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-352 | ZIB-352 ]]<br /> |Opsplitsen bouwsteen OverdrachtAlert<br /> |}<br /> <br /> Incl. algemene wijzigingsverzoeken: <br /> {|<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-94 | ZIB-94 ]]<br /> |Aanpassen tekst van Disclaimer, Terms of Use & Copyrights<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-154 | ZIB-154 ]]<br /> |Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-200 | ZIB-200 ]]<br /> |Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-201 | ZIB-201 ]]<br /> |Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-309 | ZIB-309 ]]<br /> |EOI aangepast <br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-324 | ZIB-324 ]]<br /> |Codelijsten Name en Description beginnen met een Hoofdletter<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-326 | ZIB-326 ]]<br /> |Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015<br /> |}<br /> <br /> <u>Publicatieversie 3.0</u> (01-05-2016)<br /> {|<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-438 | ZIB-438 ]]<br /> |Geen informatie<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-453 | ZIB-453 ]]<br /> |Wijziging naamgeving ZIB's en logo's door andere opzet van beheer<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-574 | ZIB-574 ]]<br /> |Alleen verwijzen naar het rootconcept van de ZIB.<br /> |}<br /> <br /> <u>Publicatieversie 3.1</u> (04-09-2017)<br /> {|<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-546 | ZIB-546 ]]<br /> |Toevoegen ' Melding kindermishandeling' aan het waardenlijst AlertnaamCodelijst<br /> |}<br /> <br /> <u>Publicatieversie 3.2</u> (31-12-2017)<br /> {|<br /> |-<br /> |style="width:75px; "|[[ZIBIssues#ZIB-593 | ZIB-593 ]]<br /> |Herzie Alert codelijsten<br /> |}<br /> </div><br /> <br /> ==Concept==<br /> 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. <BR><br /> 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. <BR><br /> Warnings for non-allergic disorders can concern:<BR><br /> <ul><br /> <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><br /> <li>Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system);</li><br /> <li>Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus);</li><br /> <li>Other risks</li><br /> </ul><br /> <br /> ==Purpose==<br /> 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.<br /> <br /> ==Information Model==<br /> <BR><br /> <imagemap> Bestand:Alert-v3.2Model(EN).png | center <br /> rect 577 377 695 427 [[#AlertNameCodelist]]<br /> rect 190 85 308 135 [[#AlertTypeCodelist]]<br /> rect 579 223 693 293 [[#11780]]<br /> rect 705 74 813 144 [[#11785]]<br /> rect 439 227 553 297 [[Problem-v4.1.1(2018EN)]]<br /> rect 329 74 437 144 [[#11783]]<br /> rect 498 65 625 151 [[#11782]]<br /> desc none<br /> </imagemap><br /> <BR><br /> {| border= "1" width="1500px" style = "font-size: 9.5pt; border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px" <br /> |-style="background-color: #1F497D; color: white; font-weight: bold; font-variant: small-caps; "<br /> |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<br /> |-style="vertical-align:top; background-color: #E3E3E3; "<br /> |style = "text-align:center" |[[Bestand: block.png| 20px | link=]]<br /> ||NL-CM:8.3.1<br /> |colspan ="6" style ="padding-left: 0px"|<span Id=11782 Title="NL: Alert">[[Bestand: arrowdown.png | 10px | link=]]Alert</span><br /> |<br /> |Root concept of the Alert information model. This root concept contains all data elements of the Alert information model.<br /> |<br /> |<br /> |-style="vertical-align:top; background-color: transparent; "<br /> |style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]<br /> ||NL-CM:8.3.3<br /> |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br /> |colspan ="5" style ="padding-left: 0px"|<span Id=11787 Title="NL: Conditie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Condition::Concern</span><br /> |(0..1)<br /> |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. <br /> <br /> If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the Problem information model should be used.<br /> <br /> |<br /> |<br /> {|<br /> |-<br /> |[[Bestand: block.png | link=Problem-v4.1.1(2018EN)]]||[[Problem-v4.1.1(2018EN) |Problem]]<br /> |}<br /> |-style="vertical-align:top; background-color: transparent; "<br /> |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br /> ||NL-CM:8.3.4<br /> |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br /> |colspan ="5" style ="padding-left: 0px"|<span Id=11780 Title="NL: AlertNaam">[[Bestand: arrowright.png | 10px | link=]]AlertName</span><br /> |(0..1)<br /> |A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert. <br /> 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.<br /> <br /> |<br /> |<br /> {|<br /> |-<br /> |[[Bestand: List2.png | link=#AlertNameCodelist]]||[[#AlertNameCodelist|AlertNameCodelist]]<br /> |}<br /> |-style="vertical-align:top; background-color: transparent; "<br /> |style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]<br /> ||NL-CM:8.3.5<br /> |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br /> |colspan ="5" style ="padding-left: 0px"|<span Id=11785 Title="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px | link=]]StartDateTime</span><br /> |0..1<br /> |The date and time at which the described condition was entered as a warning. <br /> 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).<br /> <br /> |<br /> |<br /> |-style="vertical-align:top; background-color: transparent; "<br /> |style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]<br /> ||NL-CM:8.3.6<br /> |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" |<br /> |colspan ="5" style ="padding-left: 0px"|<span Id=11783 Title="NL: AlertType">[[Bestand: arrowright.png | 10px | link=]]AlertType</span><br /> |0..1<br /> |Indicates the type of alert, meaning a rough description of the cause or origin of the warning.<br /> |<br /> |<br /> {|<br /> |-<br /> |[[Bestand: List2.png | link=#AlertTypeCodelist]]||[[#AlertTypeCodelist|AlertTypeCodelist]]<br /> |}<br /> |}<br /> Columns Concept and DefinitionCode: hover over the values for more information<BR><br /> For explanation of the symbols, please see the legend page [[Bestand:list2.png|link=Legend]]<br /> <br /> ==Example Instances==<br /> ''Only available in Dutch''<br /> <br /> {|class="wikitable" width="544px" style= "font-size: 9.5pt;"<br /> |-style=vertical-align:top;<br /> | style="background-color: #1F497D; width: 26%; "|<font color=#FFFFFF><b>AlertType</b></font><br /> | style="background-color: #1F497D; width: 43%; "|<font color=#FFFFFF><b>Begindatum</b></font><font color=#FFFFFF><b>Tijd</b></font><br /> | style="background-color: #1F497D; width: 31%; "|<font color=#FFFFFF><b>Conditie</b></font><br /> |-style=vertical-align:top;<br /> |colspan="2" style="background-color: #548DD4; width: 69%; "|<br /> | style="background-color: #548DD4; width: 31%; "|<font color=#FFFFFF><b>ProbleemNaam</b></font><br /> |-style=vertical-align:top;<br /> | style="width: 26%; "|Conditie<br /> | style="width: 43%; "|15-9-2012<br /> | style="width: 31%; "|Zwanger<br /> |-style=vertical-align:top;<br /> | style="width: 26%; "|<br /> | style="width: 43%; "|<br /> | style="width: 31%; "|<br /> |-style=vertical-align:top;<br /> | style="background-color: #1F497D; width: 26%; "|<font color=#FFFFFF><b>AlertType</b></font><br /> | style="background-color: #1F497D; width: 43%; "|<font color=#FFFFFF><b>Begindatum</b></font><font color=#FFFFFF><b>Tijd</b></font><br /> | style="background-color: #1F497D; width: 31%; "|<font color=#FFFFFF><b>Alert</b></font><font color=#FFFFFF><b>Naam</b></font><br /> |-style=vertical-align:top;<br /> | style="width: 26%; "|Waarschuwing<br /> | style="width: 43%; "|01-06-2010<br /> | style="width: 31%; "|Drager MRSA<br /> |}<br /> <br /> == Valuesets ==<br /> === AlertNameCodelist===<br /> {| class="wikitable" width="60%" <br /> |-style='vertical-align:top; background-color: #E8D7BE;'<br /> |Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2<br /> |Binding: Extensible<br /> |}<br /> {| class="wikitable" width="60% "<br /> |-style="background-color: #1F497D; color: white; font-weight: bold; "<br /> |Conceptname<br /> |Conceptcode<br /> |Codesystem name||Codesystem OID<br /> |Description<br /> |-style="vertical-align:top; "<br /> |<span title = "Drager van infectieziekte" >Infectious disease carrier</span><br /> |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=66598005 66598005]<br /> |SNOMED CT<br /> |2.16.840.1.113883.6.96<br /> |Drager van besmettelijke ziekte<br /> |-style="vertical-align:top; "<br /> |<span title = "Drager van meticillineresistente Staphylococcus aureus" >Methicillin resistant staphylococcus aureus carrier</span><br /> |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=432415000 432415000]<br /> |SNOMED CT<br /> |2.16.840.1.113883.6.96<br /> |Drager MRSA<br /> |-style="vertical-align:top; "<br /> |<span title = "Drager van vancomycineresistente enterokok" >Carrier of vancomycin resistant enterococcus</span><br /> |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=431109006 431109006]<br /> |SNOMED CT<br /> |2.16.840.1.113883.6.96<br /> |Drager VRE<br /> |-style="vertical-align:top; "<br /> |<span title = "Drager van humaan immunodeficiëntievirus" >Human immunodeficiency virus carrier</span><br /> |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=699433000 699433000]<br /> |SNOMED CT<br /> |2.16.840.1.113883.6.96<br /> |Drager HIV<br /> |-style="vertical-align:top; "<br /> |<span title = "Kindermishandeling" >Victim of child abuse</span><br /> |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397940009 397940009]<br /> |SNOMED CT<br /> |2.16.840.1.113883.6.96<br /> |Kindermishandeling<br /> |-style="vertical-align:top; "<br /> |Other<br /> |OTH<br /> |NullFlavor<br /> |2.16.840.1.113883.5.1008<br /> |Anders<br /> |}<br /> === AlertTypeCodelist===<br /> {| class="wikitable" width="60%" <br /> |-style='vertical-align:top; background-color: #E8D7BE;'<br /> |Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1<br /> |Binding: Extensible<br /> |}<br /> {| class="wikitable" width="60% "<br /> |-style="background-color: #1F497D; color: white; font-weight: bold; "<br /> |Conceptname<br /> |Conceptcode<br /> |Codesystem name||Codesystem OID<br /> |Description<br /> |-style="vertical-align:top; "<br /> |Condition<br /> |[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=75323-6 75323-6]<br /> |LOINC<br /> |2.16.840.1.113883.6.1<br /> |conditie<br /> |-style="vertical-align:top; "<br /> |<span title = "Alert [type] in ^patiënt" >Alert</span><br /> |[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=74018-3 74018-3]<br /> |LOINC<br /> |2.16.840.1.113883.6.1<br /> |waarschuwing<br /> |}<br /> <br /> ==This information model in other releases==<br /> <br /> {{Versions-2.16.840.1.113883.2.4.3.11.60.40.3.8.3(EN)|2|2018}}<br /> <br /> ==Information model references==<br /> ====This information model refers to====<br /> *[[Problem-v4.1.1(2018EN)|Problem-v4.1.1]]<br /> ====This inforation model is used in====<br /> :--<br /> ==Technical specifications in HL7v3 CDA and HL7 FHIR==<br /> To exchange information based on health and care information models, additional, more technical specifications are required.<BR><br /> Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<br /> <ul><br /> <li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2018bbr-?id=2.16.840.1.113883.2.4.3.11.60.8.4.2.8.3&effectiveDate=2018-10-01T00:00:00&language=en-US&scenariotree=false [[File:artdecor.jpg|16px|link=]]]</li><br /> <li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR {{SimplefierLinks|2018}}</li><br /> </ul><br /> ==Downloads==<br /> This information model is also available as [[Media:nl.zorg.Alert-v3.2(2018EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Alert-v3.2(2018EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]<br /> ==About this information==<br /> The information in this wikipage is based on Prerelease 2018 #1 <BR><br /> SNOMED CT and LOINC codes are based on:<br /> <ul><br /> <li>SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)</li><br /> <li>LOINC version 2.64</li><br /> </ul><br /> Conditions for use are located on the mainpage [[Bestand:list2.png|link=HCIM_Mainpage]]<BR><br /> This page is generated on 01/11/2018 17:33:47 with ZibExtraction v. 2.0.6879.31307 <BR><br /> -----<br /> <div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2018(EN)]] [[HCIM_Release_2018(EN) |Back to HCIM list ]]</div></div>

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