Alert-v3.2(2018EN): verschil tussen versies
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Geen bewerkingssamenvatting |
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Regel 160: | Regel 160: | ||
==Information Model== | ==Information Model== | ||
<BR> | <BR> | ||
<imagemap> Bestand:Alert-v3.2Model( | <imagemap> Bestand:Alert-v3.2Model(2018EN).png | center | ||
rect | rect 587 385 705 435 [[#AlertNaamCodelijst]] | ||
rect | rect 200 93 318 143 [[#AlertTypeCodelijst]] | ||
rect | rect 589 231 703 301 [[#11780]] | ||
rect | rect 715 82 823 152 [[#11785]] | ||
rect | rect 449 235 563 305 [[Problem-v4.1.1(2018EN)]] | ||
rect | rect 339 82 447 152 [[#11783]] | ||
rect | rect 508 73 635 159 [[#11782]] | ||
desc none | desc none | ||
</imagemap> | </imagemap> | ||
Regel 177: | Regel 177: | ||
|style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | |style = "text-align:center" |[[Bestand: block.png| 20px | link=]] | ||
||NL-CM:8.3.1 | ||NL-CM:8.3.1 | ||
|colspan ="6" style ="padding-left: 0px"|<span Id=11782 Title=" | |colspan ="6" style ="padding-left: 0px"|<span Id=11782 Title="EN: Alert">[[Bestand: arrowdown.png | 10px | link=]]Alert</span> | ||
| | | | ||
|Root concept of the Alert information model. This root concept contains all data elements of the Alert information model. | |Root concept of the Alert information model. This root concept contains all data elements of the Alert information model. | ||
Regel 186: | Regel 186: | ||
||NL-CM:8.3.3 | ||NL-CM:8.3.3 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=11787 Title=" | |colspan ="5" style ="padding-left: 0px"|<span Id=11787 Title="EN: Condition::Concern">[[Bestand: arrowright.png | 10px | link=]]Conditie::Probleem</span> | ||
|(0..1) | |(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. | |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. | ||
Regel 202: | Regel 202: | ||
||NL-CM:8.3.4 | ||NL-CM:8.3.4 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=11780 Title=" | |colspan ="5" style ="padding-left: 0px"|<span Id=11780 Title="EN: AlertName">[[Bestand: arrowright.png | 10px | link=]]AlertNaam</span> | ||
|(0..1) | |(0..1) | ||
|A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert. | |A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert. | ||
Regel 211: | Regel 211: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png | link=# | |[[Bestand: List2.png | link=#AlertNaamCodelijst]]||[[#AlertNaamCodelijst|AlertNaamCodelijst]] | ||
|} | |} | ||
|-style="vertical-align:top; background-color: transparent; " | |-style="vertical-align:top; background-color: transparent; " | ||
Regel 217: | Regel 217: | ||
||NL-CM:8.3.5 | ||NL-CM:8.3.5 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=11785 Title=" | |colspan ="5" style ="padding-left: 0px"|<span Id=11785 Title="EN: StartDateTime">[[Bestand: arrowright.png | 10px | link=]]BeginDatumTijd</span> | ||
|0..1 | |0..1 | ||
|The date and time at which the described condition was entered as a warning. | |The date and time at which the described condition was entered as a warning. | ||
Regel 228: | Regel 228: | ||
||NL-CM:8.3.6 | ||NL-CM:8.3.6 | ||
|style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | |style = "width: 7px; padding-left: 0px; padding-right: 0px; border-left: none; border-right: 1px dotted silver;" | | ||
|colspan ="5" style ="padding-left: 0px"|<span Id=11783 Title=" | |colspan ="5" style ="padding-left: 0px"|<span Id=11783 Title="EN: AlertType">[[Bestand: arrowright.png | 10px | link=]]AlertType</span> | ||
|0..1 | |0..1 | ||
|Indicates the type of alert, meaning a rough description of the cause or origin of the warning. | |Indicates the type of alert, meaning a rough description of the cause or origin of the warning. | ||
Regel 235: | Regel 235: | ||
{| | {| | ||
|- | |- | ||
|[[Bestand: List2.png | link=# | |[[Bestand: List2.png | link=#AlertTypeCodelijst]]||[[#AlertTypeCodelijst|AlertTypeCodelijst]] | ||
|} | |} | ||
|} | |} | ||
Regel 271: | Regel 271: | ||
== Valuesets == | == Valuesets == | ||
=== | === AlertNaamCodelijst=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
Regel 284: | Regel 284: | ||
|Description<!--vsDescription--> | |Description<!--vsDescription--> | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Drager van infectieziekte" >Infectious disease carrier</span> | |<span title = "Drager van infectieziekte">Infectious disease carrier</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=66598005 66598005] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=66598005 66598005] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 290: | Regel 290: | ||
|Drager van besmettelijke ziekte | |Drager van besmettelijke ziekte | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Drager van meticillineresistente Staphylococcus aureus" >Methicillin resistant staphylococcus aureus carrier</span> | |<span title = "Drager van meticillineresistente Staphylococcus aureus">Methicillin resistant staphylococcus aureus carrier</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=432415000 432415000] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=432415000 432415000] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 296: | Regel 296: | ||
|Drager MRSA | |Drager MRSA | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Drager van vancomycineresistente enterokok" >Carrier of vancomycin resistant enterococcus</span> | |<span title = "Drager van vancomycineresistente enterokok">Carrier of vancomycin resistant enterococcus</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=431109006 431109006] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=431109006 431109006] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 302: | Regel 302: | ||
|Drager VRE | |Drager VRE | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Drager van humaan immunodeficiëntievirus" >Human immunodeficiency virus carrier</span> | |<span title = "Drager van humaan immunodeficiëntievirus">Human immunodeficiency virus carrier</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=699433000 699433000] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=699433000 699433000] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 308: | Regel 308: | ||
|Drager HIV | |Drager HIV | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Kindermishandeling" >Victim of child abuse</span> | |<span title = "Kindermishandeling">Victim of child abuse</span> | ||
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397940009 397940009] | |[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=397940009 397940009] | ||
|SNOMED CT | |SNOMED CT | ||
Regel 320: | Regel 320: | ||
|Anders | |Anders | ||
|} | |} | ||
=== | === AlertTypeCodelijst=== | ||
{| class="wikitable" width="60%" | {| class="wikitable" width="60%" | ||
|-style='vertical-align:top; background-color: #E8D7BE;' | |-style='vertical-align:top; background-color: #E8D7BE;' | ||
Regel 339: | Regel 339: | ||
|conditie | |conditie | ||
|-style="vertical-align:top; " | |-style="vertical-align:top; " | ||
|<span title = "Alert [type] in ^patiënt" >Alert</span> | |<span title = "Alert [type] in ^patiënt">Alert</span> | ||
|[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=74018-3 74018-3] | |[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=74018-3 74018-3] | ||
|LOINC | |LOINC | ||
Regel 353: | Regel 353: | ||
====This information model refers to<!--ftRefersTo-->==== | ====This information model refers to<!--ftRefersTo-->==== | ||
*[[Problem-v4.1.1(2018EN)|Problem-v4.1.1]] | *[[Problem-v4.1.1(2018EN)|Problem-v4.1.1]] | ||
====This | ====This information model is used in<!--ftReferredBy-->==== | ||
:-- | :-- | ||
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->== | ||
Regel 372: | Regel 372: | ||
</ul> | </ul> | ||
Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | Conditions for use are located on the mainpage<!--ftConditions--> [[Bestand:list2.png|link=HCIM_Mainpage<!--wikiMainpage-->]]<BR> | ||
This page is generated on | This page is generated on 23/12/2018 00:45:30 with ZibExtraction v. 3.0.6929.24609<!--ftDate--> <BR> | ||
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Huidige versie van 24 dec 2018 om 11:56
General information
Name: nl.zorg.Alert
Version: 3.2
HCIM Status:Final
Release: 2018
Release status: Prepublished
Release date: 01-10-2018
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 | 01-10-2018 |
DCM::PublicationStatus | Prepublished |
DCM::ReviewerList | Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron |
DCM::RevisionDate | 31-12-2017 |
DCM::Superseeds | nl.zorg.Alert-v3.1 |
DCM::Version | 3.2 |
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 |
Publicatieversie 3.2 (31-12-2017)
ZIB-593 | Herzie Alert codelijsten |
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 | Conditie::Probleem | (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. |
| |||||||||
NL-CM:8.3.4 | AlertNaam | (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. |
| |||||||||
NL-CM:8.3.5 | BeginDatumTijd | 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. |
|
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
AlertNaamCodelijst
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 |
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 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 |
AlertTypeCodelijst
Valueset OID: 2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1 | Binding: Extensible |
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 2019-2, (Version 4.0)
- Release 2020, (Version 4.1)
- Prerelease 2021-2, (Version 4.1)
- Prerelease 2022-1, (Version 4.1)
- Prerelease 2023-1, (Version 4.1)
- Prerelease 2024-1, (Version 4.2)
Information model references
This information model refers to
This information model is used in
- --
Technical specifications in HL7v3 CDA and HL7 FHIR
To exchange information based on health and care information models, additional, more technical specifications are required.
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 Prerelease 2018 #1
SNOMED CT and LOINC codes are based on:
- SNOMED Clinical Terms version: 20180731 [R] (July 2018 Release)
- LOINC version 2.64
Conditions for use are located on the mainpage
This page is generated on 23/12/2018 00:45:30 with ZibExtraction v. 3.0.6929.24609