Alert-v3.0(2016EN): verschil tussen versies

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Regel 3: Regel 3:
Version: '''3.0''' <br>
Version: '''3.0''' <br>
HCIM Status:Final<br>
HCIM Status:Final<br>
Publication: '''2016''' <br>
Release: '''2016''' <br>
Release status: Published<br>
Release status: Published<br>
Publication date: 1-5-2016
Release date: 1-5-2016
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>
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Regel 123: Regel 123:
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>
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>
Warnings for non-allergic disorders can concern:<BR>
Warnings for non-allergic disorders can concern:<BR>
- 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<BR>
<ul>
- Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system) <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>
- Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus)<BR>
</ul>
- Other risks<BR>
<ul>
<li>Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system) </li>
<li>Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus) </li>
<li>Other risks</li>
</ul>


==Purpose==
==Purpose==
Regel 133: Regel 137:
==Information Model==
==Information Model==
<BR>
<BR>
[[Bestand: Alert-v3.0Model(EN).png | center]]
<imagemap> Bestand:Alert-v3.0Model(EN).png | center  
rect 577 377 695 427 [[#AlertNameCodelist]]
rect 190 85 308 135 [[#AlertTypeCodelist]]
rect 579 223 693 293 [[#11780]]
rect 705 74 813 144 [[#11785]]
rect 439 227 553 297 [[ConcernForTransfer-v3.0(2016EN)]]
rect 329 74 437 144 [[#11783]]
rect 498 65 625 151 [[#11782]]
desc none
</imagemap>
<BR>
<BR>
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
{| border= "1"  width="1500px" style = "font-size: 9.5pt;  border: solid 1px silver; border-collapse:collapse;" cellpadding = "3px" cellspacing ="0px"  
Regel 139: Regel 152:
|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="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="vertical-align:top; background-color: #E3E3E3; "
|style = "text-align:center" |[[Bestand: block.png| 20px]]
|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 Title="NL: Alert">[[Bestand: arrowdown.png | 10px]]Alert</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=11782 Title="NL: 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 147: Regel 160:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px]]
|style = "text-align:center" |[[Bestand: Verwijzing.png| 20px | link=]]
||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 Title="NL: Conditie::Concern">[[Bestand: arrowright.png | 10px]]Condition::Concern</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11787 Title="NL: Conditie::Concern">[[Bestand: arrowright.png | 10px | link=]]Condition::Concern</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 160: Regel 173:
{|
{|
|-
|-
|[[Bestand: block.png]]||[[ConcernForTransfer-v3.0(2016EN) |ConcernForTransfer]]
|[[Bestand: block.png | link=ConcernForTransfer-v3.0(2016EN)]]||[[ConcernForTransfer-v3.0(2016EN) |ConcernForTransfer]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||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 Title="NL: AlertNaam">[[Bestand: arrowright.png | 10px]]AlertName</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11780 Title="NL: AlertNaam">[[Bestand: arrowright.png | 10px | link=]]AlertName</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 175: Regel 188:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#AlertNameCodelist|AlertNameCodelist]]
|[[Bestand: List2.png | link=#AlertNameCodelist]]||[[#AlertNameCodelist|AlertNameCodelist]]
|}
|}
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: TS.png| 16px]]
|style = "text-align:center" |[[Bestand: TS.png| 16px | link=]]
||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 Title="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px]]StartDateTime</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11785 Title="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px | link=]]StartDateTime</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 189: Regel 202:
|
|
|-style="vertical-align:top; background-color: transparent; "
|-style="vertical-align:top; background-color: transparent; "
|style = "text-align:center" |[[Bestand: CD.png| 16px]]
|style = "text-align:center" |[[Bestand: CD.png| 16px | link=]]
||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 Title="NL: AlertType">[[Bestand: arrowright.png | 10px]]AlertType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=11783 Title="NL: AlertType">[[Bestand: arrowright.png | 10px | link=]]AlertType</span>
|1..1
|1..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 199: Regel 212:
{|
{|
|-
|-
|[[Bestand: List2.png]]||[[#AlertTypeCodelist|AlertTypeCodelist]]
|[[Bestand: List2.png | link=#AlertTypeCodelist]]||[[#AlertTypeCodelist|AlertTypeCodelist]]
|}
|}
|}
|}
Regel 210: Regel 223:
{|class="wikitable" width="544px" style= "font-size: 9.5pt;"
{|class="wikitable" width="544px" style= "font-size: 9.5pt;"
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 26%; color: #FFFFFF; font-weight: bold; "|AlertType
| style="background-color: #1F497D; width: 26%; "|<font color=#FFFFFF><b>AlertType</b></font>
| style="background-color: #1F497D; width: 43%; color: #FFFFFF; font-weight: bold; "|BegindatumTijd
| style="background-color: #1F497D; width: 43%; "|<font color=#FFFFFF><b>Begindatum</b></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: 31%; color: #FFFFFF; font-weight: bold; "|Conditie
| style="background-color: #1F497D; width: 31%; "|<font color=#FFFFFF><b>Conditie</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 69%; "|
|colspan="2" style="background-color: #548DD4; width: 69%; "|
| style="background-color: #548DD4; width: 31%; color: #FFFFFF; font-weight: bold; "|ProbleemNaam
| style="background-color: #548DD4; width: 31%; "|<font color=#FFFFFF><b>ProbleemNaam</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|Conditie
| style="width: 26%; "|Conditie
Regel 225: Regel 238:
| style="width: 31%; "|
| style="width: 31%; "|
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 26%; color: #FFFFFF; font-weight: bold; "|AlertType
| style="background-color: #1F497D; width: 26%; "|<font color=#FFFFFF><b>AlertType</b></font>
| style="background-color: #1F497D; width: 43%; color: #FFFFFF; font-weight: bold; "|BegindatumTijd
| style="background-color: #1F497D; width: 43%; "|<font color=#FFFFFF><b>Begindatum</b></font><font color=#FFFFFF><b>Tijd</b></font>
| style="background-color: #1F497D; width: 31%; color: #FFFFFF; font-weight: bold; "|AlertNaam
| style="background-color: #1F497D; width: 31%; "|<font color=#FFFFFF><b>Alert</b></font><font color=#FFFFFF><b>Naam</b></font>
|-style=vertical-align:top;
|-style=vertical-align:top;
| style="width: 26%; "|Waarschuwing
| style="width: 26%; "|Waarschuwing
Regel 304: Regel 317:




==This information model in other releases==
<ul>
<li>[[Alert-v1.0(2015EN) | Release 2015, (Version 1.0)]]</li>
<li>[[Alert-v3.2(2017EN) | Release 2017, (Version 3.2)]]</li>
</ul>
==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>
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:
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment [http://decor.nictiz.nl/art-decor/decor-scenarios--zib2016bbr-?id=2.16.840.1.113883.2.4.3.11.60.6.4.2.8.3&effectiveDate=2016-05-01T00:00:00&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>
</ul>
This information model is also available as [[Media:nl.zorg.Alert-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Alert-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
This information model is also available as [[Media:nl.zorg.Alert-v3.0(2016EN).pdf|pdf file]] [[File:PDF.png|link=]] or as [[Media:nl.zorg.Alert-v3.0(2016EN).xlsx|spreadsheet]] [[File:xlsx.png|link=]]
==About this information==
==About this information==
The information in this wikipage is based on Release summer 2016 <BR>
The information in this wikipage is based on Release summer 2016 <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 28/09/2017 01:15:45 <BR>
This page is generated on 24/01/2018 23:28:45 <BR>
-----
-----
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<div style="text-align: right; direction: ltr; margin-left: 1em;" >[[Bestand: Back 16.png| link= HCIM_Release_2016(EN)]] [[HCIM_Release_2016(EN) |Back to HCIM list ]]</div>

Versie van 25 jan 2018 00:12

General information

Name: nl.zorg.Alert NL.png
Version: 3.0
HCIM Status:Final
Release: 2016
Release status: Published
Release date: 1-5-2016


Back 16.png Back to HCIM list

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 1-5-2016
DCM::PublicationStatus Published
DCM::ReviewerList Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
DCM::RevisionDate 1-4-2015
DCM::Superseeds nl.nfu.Alert-v1.0
DCM::Version 3.0
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)

.

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


#AlertNameCodelist#AlertTypeCodelist#11780#11785ConcernForTransfer-v3.0(2016EN)#11783#11782Alert-v3.0Model(EN).png


Type Id Concept Card. Definition DefinitionCode Reference
Block.png NL-CM:8.3.1 Arrowdown.pngAlert Root concept of the Alert information model. This root concept contains all data elements of the Alert information model.
Verwijzing.png NL-CM:8.3.3 Arrowright.pngCondition::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 ConcernTransfer information model should be used.

Block.png ConcernForTransfer
CD.png NL-CM:8.3.4 Arrowright.pngAlertName (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.

List2.png AlertNameCodelist
TS.png NL-CM:8.3.5 Arrowright.pngStartDateTime 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).

CD.png NL-CM:8.3.6 Arrowright.pngAlertType 1..1 Indicates the type of alert, meaning a rough description of the cause or origin of the warning.
List2.png AlertTypeCodelist

Columns Concept and DefinitionCode: hover over the values for more information
For explanation of the symbols, please see the legend page List2.png

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
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


This information model in other releases

More on this information model

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 Artdecor.jpg
  • HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR Fhir.png

This information model is also available as pdf file PDF.png or as spreadsheet Xlsx.png

About this information

The information in this wikipage is based on Release summer 2016
Conditions for use are located on the mainpage List2.png
This page is generated on 24/01/2018 23:28:45


Back 16.png Back to HCIM list