Alert-v3.1(2017EN)

General information

Name: nl.zorg.Alert
Version: 3.1
HCIM Status:Final
Publication: 2017
Release status: Prepublished
Publication date: 04-09-2017

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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	04-09-2017
DCM::PublicationStatus	Prepublished
DCM::ReviewerList	Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate	04-09-2017
DCM::Superseeds	nl.zorg.Alert-v3.0
DCM::Version	3.1
HCIM::PublicationLanguage	EN

Revision History

Only available in Dutch

Publicatieversie 1.0 (01-04-2015)

ZIB-109	Onduidelijk wat wel/niet onderdeel uitmaakt van bouwsteen OverdrachtAlert; definities aanpassen
ZIB-132	Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst AlertTypeCodelijst n.a.v. review terminologie expert.
ZIB-203	In de klinische bouwsteen OverdrachtAlert DCM::ValueSet SNOMED CT aangepast van concept AlertOmschrijving naar tagged value DCM::ContentExpression.
ZIB-204	In de klinische bouwsteen OverdrachtAlert DCM::ValueSet G-Standaard aangepast van concept AlertOmschrijving.
ZIB-306	Aanpassen modellering keuzebox, boundary en cardinaliteit
ZIB-308	Prefix Overdracht weggehaald bij de generieke bouwstenen
ZIB-352	Opsplitsen bouwsteen OverdrachtAlert

Incl. algemene wijzigingsverzoeken:

ZIB-94	Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
ZIB-154	Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
ZIB-200	Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
ZIB-201	Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
ZIB-309	EOI aangepast
ZIB-324	Codelijsten Name en Description beginnen met een Hoofdletter
ZIB-326	Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015

Publicatieversie 3.0 (01-05-2016)

ZIB-438	Geen informatie
ZIB-453	Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
ZIB-574	Alleen verwijzen naar het rootconcept van de ZIB.

Publicatieversie 3.1 (04-09-2017)

ZIB-546

Toevoegen ' Melding kindermishandeling' aan het waardenlijst AlertnaamCodelijst

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 the use of groups of medication or 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:8.3.3		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. If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the Problem information model should be used.		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					1..1	Indicates the type of alert, meaning a rough description of the cause or origin of the warning.		AlertTypeCodelist

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

AlertType	BegindatumTijd	Conditie
		ProbleemNaam
Conditie	15-9-2012	Zwanger
AlertType	BegindatumTijd	AlertNaam
Waarschuwing	01-06-2010	Drager MRSA

Valuesets

AlertNameCodelist

Valueset OID 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2

Conceptname	Conceptcode	Codesystem name	Codesystem OID	Description
Infectious disease carrier	66598005	SNOMED CT	2.16.840.1.113883.6.96	Drager van besmettelijke ziekte
Methicillin resistant staphylococcus aureus carrier	432415000	SNOMED CT	2.16.840.1.113883.6.96	Drager MRSA
Carrier of vancomycin resistant enterococcus	431109006	SNOMED CT	2.16.840.1.113883.6.96	Drager VRE
Human immunodeficiency virus (HIV) 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

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

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[1]
This information model is also available as pdf file or as spreadsheet

About this information

The information in this wikipage is based on Prerelease 2017 #1
Conditions for use are located on the mainpage
This page is generated on 28/09/2017 10:56:46

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