Alert-v4.1(2022EN)

Attention!! This is not the most recent version of this information model. You can find the most recent version ''here''.

General information

Name: nl.zorg.Alert
Version: 4.1
HCIM Status:Final
Release: 2022
Release status: Prepublished
Release date: 15-10-2023

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Metadata

DCM::CoderList	Kerngroep Registratie aan de Bron
DCM::ContactInformation.Address	*
DCM::ContactInformation.Name	*
DCM::ContactInformation.Telecom	*
DCM::ContentAuthorList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::CreationDate	15-12-2014
DCM::DeprecatedDate
DCM::DescriptionLanguage	nl
DCM::EndorsingAuthority.Address
DCM::EndorsingAuthority.Name	PM
DCM::EndorsingAuthority.Telecom
DCM::Id	2.16.840.1.113883.2.4.3.11.60.40.3.8.3
DCM::KeywordList	alerts, alert, waarschuwing
DCM::LifecycleStatus	Final
DCM::ModelerList	Kerngroep Registratie aan de Bron
DCM::Name	nl.zorg.Alert
DCM::PublicationDate	15-10-2023
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	29-07-2020
DCM::Supersedes	nl.zorg.Alert-v4.0
DCM::Version	4.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

Issue summaries niet beschikbaar
Bevat: ZIB-109, ZIB-132, ZIB-203, ZIB-204, ZIB-306, ZIB-308, ZIB-352.

Incl. algemene wijzigingsverzoeken: ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.

Publicatieversie 3.0 (01-05-2016) Bevat: ZIB-438, ZIB-453, ZIB-574.

Publicatieversie 3.1 (04-09-2017) Bevat: ZIB-546.

Publicatieversie 3.2 (31-12-2017) Bevat: ZIB-593.

Publicatieversie 3.3 (26-02-2019) Bevat: ZIB-682.

Publicatieversie 3.4 (06-07-2019) Bevat: ZIB-813.

Publicatieversie 4.0 (31-01-2020) Bevat: ZIB-905, ZIB-526.

Publicatieversie 4.1 (01-09-2020) Bevat: ZIB-1160, ZIB-1209.

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:

• A disorder, condition or diagnosis which can be considered as a contraindication for undergoing a certain type of therapy, such as pregnancy or long QT syndrome;
  
• Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system);
  
• Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus);
  
• Other risks

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

Type	Id	Concept						Card.	Definition	DefinitionCode	Reference
	NL-CM:8.3.1	Alert							Root concept of the Alert information model. This root concept contains all data elements of the Alert information model.
	NL-CM:8.3.8		EndDateTime					0..1	The date and time at which the described condition was retracted 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).
	NL-CM:8.3.3		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.		Problem
	NL-CM:8.3.4		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.		AlertNameCodelist
	NL-CM:8.3.5		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).
	NL-CM:8.3.6		AlertType					0..1	Indicates the type of alert, meaning a rough description of the cause or origin of the warning.		AlertTypeCodelist
	NL-CM:8.3.7		Comment					0..1	Explanatory comments to the alert that can not be expressed in any of the other elements.	48767-8 Annotation comment [Interpretation] Narrative

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page

Example Instances

Only available in Dutch

Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Alert-v4.1(NL)_Voorbeeld.docx

Instructions

If there is a contraindication which is also important for medication safety, it should also be registered via the g-standard (Thesaurus 40).  See further HCIM MedicationContraIndication.

Valuesets

AlertNameCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2

Binding: Extensible

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Infectious disease carrier	66598005	SNOMED CT	2.16.840.1.113883.6.96	Drager van besmettelijke ziekte
Carbapenemase producing Enterobacteriaceae carrier	715881003	SNOMED CT	2.16.840.1.113883.6.96	Drager Enterobacteriaceae – CPE
Carrier of carbapenem susceptible multidrug resistant Enterobacteriaceae	97961000146102	SNOMED CT	2.16.840.1.113883.6.96	Drager Enterobacteriaceae – BRMO excl. CPE
Carrier of multiple drug resistant Stenotrophomonas maltophilia	97981000146105	SNOMED CT	2.16.840.1.113883.6.96	Drager Stenotrophomonas maltophilia – BRMO
Carrier of multiple drug resistant Acinetobacter	97971000146108	SNOMED CT	2.16.840.1.113883.6.96	Drager Acinetobacter spp – BRMO
Carrier of multiple drug resistant Pseudomonas aeruginosa	98001000146104	SNOMED CT	2.16.840.1.113883.6.96	Drager Pseudomonas aeruginosa – BRMO
Carrier of vancomycin resistant enterococcus	431109006	SNOMED CT	2.16.840.1.113883.6.96	Drager Enterococcus faecium – VRE
Carrier of multiple drug resistant Streptococcus pneumoniae	97991000146107	SNOMED CT	2.16.840.1.113883.6.96	Drager Streptococcus pneumoniae – PRP
Methicillin resistant Staphylococcus aureus carrier	432415000	SNOMED CT	2.16.840.1.113883.6.96	Drager MRSA
Human immunodeficiency virus carrier	699433000	SNOMED CT	2.16.840.1.113883.6.96	Drager HIV
Victim of child abuse	397940009	SNOMED CT	2.16.840.1.113883.6.96	Kindermishandeling
Other	OTH	NullFlavor	2.16.840.1.113883.5.1008	Anders

AlertTypeCodelist

Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1

Binding: Required

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Condition	75323-6	LOINC	2.16.840.1.113883.6.1	conditie
Alert	74018-3	LOINC	2.16.840.1.113883.6.1	waarschuwing

This information model in other releases

• Release 2015, (Version 1.0)
• Release 2016, (Version 3.0)
• Release 2017, (Version 3.2)
• Prerelease 2018-2, (Version 3.3)
• Prerelease 2019-2, (Version 4.0)
• Release 2020, (Version 4.1)
• Prerelease 2021-2, (Version 4.1)
• Prerelease 2023-1, (Version 4.1)
• Prerelease 2024-1, (Version 4.2)

Information model references

This information model refers to

• Problem-v4.6

This information model is used in

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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
• HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR

Downloads

This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Pre-release 2022-1
SNOMED CT and LOINC codes are based on:

• SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)
• LOINC version 2.76

Conditions for use are located on the mainpage
This page is generated on 27/03/2024 09:31:19 with ZibExtraction v. 9.3.8851.20230

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