Alert-v4.1(2022EN): verschil tussen versies

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(3 tussenliggende versies door 2 gebruikers niet weergegeven)
Regel 8: Regel 8:
Release<!--hdPublication-->: '''2022''' <br>
Release<!--hdPublication-->: '''2022''' <br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release status<!--hdPublicationStatus-->: Prepublished<br>
Release date<!--hdPublicationDate-->: 10-06-2022
Release date<!--hdPublicationDate-->: 15-10-2023
<!-- Aanroep Errata transclude page -->
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
<!-- tot hier -->
<!-- Aanroep Errata transclude page -->
<!-- Aanroep Errata transclude page -->
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
{{ErrataEN<!--hdErrata-->|2022|{{PAGENAME}}}}
Regel 29: Regel 26:
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|style="width:250px; "|DCM::ContactInformation.Telecom||*
|-  
|-  
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ContentAuthorList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::CreationDate||15-12-2014
|style="width:250px; "|DCM::CreationDate||15-12-2014
Regel 53: Regel 50:
|style="width:250px; "|DCM::Name||nl.zorg.Alert
|style="width:250px; "|DCM::Name||nl.zorg.Alert
|-  
|-  
|style="width:250px; "|DCM::PublicationDate||10-06-2022
|style="width:250px; "|DCM::PublicationDate||15-10-2023
|-  
|-  
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|style="width:250px; "|DCM::PublicationStatus||Prepublished
|-  
|-  
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens & Kerngroep Registratie aan de Bron
|style="width:250px; "|DCM::ReviewerList||Projectgroep Generieke Overdrachtsgegevens &amp; Kerngroep Registratie aan de Bron
|-  
|-  
|style="width:250px; "|DCM::RevisionDate||29-07-2020
|style="width:250px; "|DCM::RevisionDate||29-07-2020
Regel 74: Regel 71:
<u>Publicatieversie 1.0</u> (01-04-2015)
<u>Publicatieversie 1.0</u> (01-04-2015)
{|
{|
|-
Issue summaries niet beschikbaar<BR>
|style="width:75px; "|[[ZIBIssues500_0#ZIB-109 | ZIB-109 ]]
Bevat: ZIB-109, ZIB-132, ZIB-203, ZIB-204, ZIB-306, ZIB-308, ZIB-352.
|Onduidelijk wat wel/niet onderdeel uitmaakt van bouwsteen OverdrachtAlert; definities aanpassen
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-132 | ZIB-132 ]]
|Aanpassingen in SNOMED CT codes en omschrijvingen voor codelijst AlertTypeCodelijst n.a.v. review terminologie expert.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-203 | ZIB-203 ]]
|In de klinische bouwsteen OverdrachtAlert DCM::ValueSet SNOMED CT aangepast van concept AlertOmschrijving naar tagged value DCM::ContentExpression.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-204 | ZIB-204 ]]
|In de klinische bouwsteen OverdrachtAlert DCM::ValueSet G-Standaard aangepast van concept AlertOmschrijving.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-306 | ZIB-306 ]]
|Aanpassen modellering keuzebox, boundary en cardinaliteit
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-308 | ZIB-308 ]]
|Prefix Overdracht weggehaald bij de generieke bouwstenen
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-352 | ZIB-352 ]]
|Opsplitsen bouwsteen OverdrachtAlert
|}
|}


Incl. algemene wijzigingsverzoeken:  
Incl. algemene wijzigingsverzoeken:  
{|
ZIB-94, ZIB-154, ZIB-200, ZIB-201, ZIB-309, ZIB-324, ZIB-326.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-94 | ZIB-94 ]]
|Aanpassen tekst van Disclaimer, Terms of Use & Copyrights
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-154 | ZIB-154 ]]
|Consequenties opsplitsing Medicatie bouwstenen voor overige bouwstenen.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-200 | ZIB-200 ]]
|Naamgeving SNOMED CT in tagged values klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-201 | ZIB-201 ]]
|Naamgeving OID: in tagged value notes van klinische bouwstenen gelijk getrokken.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-309 | ZIB-309 ]]
|EOI aangepast
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-324 | ZIB-324 ]]
|Codelijsten Name en Description beginnen met een Hoofdletter
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-326 | ZIB-326 ]]
|Tekstuele aanpassingen conform de kwaliteitsreview kerngroep 2015
|}


<u>Publicatieversie 3.0</u> (01-05-2016)
<u>Publicatieversie 3.0</u> (01-05-2016)
{|
Bevat: ZIB-438, ZIB-453, ZIB-574.
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-438 | ZIB-438 ]]
|Geen informatie
|-
|style="width:75px; "|[[ZIBIssues500_0#ZIB-453 | ZIB-453 ]]
|Wijziging naamgeving ZIB's en logo's door andere opzet van beheer
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-574 | ZIB-574 ]]
|Alleen verwijzen naar het rootconcept van de ZIB.
|}


<u>Publicatieversie 3.1</u> (04-09-2017)
<u>Publicatieversie 3.1</u> (04-09-2017)
{|
Bevat: ZIB-546.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-546 | ZIB-546 ]]
|Toevoegen ' Melding kindermishandeling'  aan het waardenlijst AlertnaamCodelijst
|}


<u>Publicatieversie 3.2</u> (31-12-2017)
<u>Publicatieversie 3.2</u> (31-12-2017)
{|
Bevat: ZIB-593.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-593 | ZIB-593 ]]
|Herzie Alert codelijsten
|}


<u>Publicatieversie 3.3</u> (26-02-2019)
<u>Publicatieversie 3.3</u> (26-02-2019)
{|
Bevat: ZIB-682.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-682 | ZIB-682 ]]
|toelichting toevoegen aan alert
|}


<u>Publicatieversie 3.4</u> (06-07-2019)
<u>Publicatieversie 3.4</u> (06-07-2019)
{|
Bevat: ZIB-813.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-813 | ZIB-813 ]]
|AlertNaamCodelijst uitbreiden met dragerschap van multiresistente bacteriën
|}


<u>Publicatieversie 4.0</u> (31-01-2020)
<u>Publicatieversie 4.0</u> (31-01-2020)
{|
Bevat: ZIB-905, ZIB-526.
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-905 | ZIB-905 ]]
|Typo: vasrgelegd bij Alert
|-
|style="width:75px; "|[[ZIBIssues500_1#ZIB-526 | ZIB-526 ]]
|Toevoegen EindDatum bij zibs die ook BeginDatum kennen
|}


Publicatieversie <u>4.1</u> (01-09-2020)
Publicatieversie <u>4.1</u> (01-09-2020)
{|
Bevat: ZIB-1160, ZIB-1209.
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1160 | ZIB-1160 ]]
|Typo in wiki zib Alert 4.0
|-
|style="width:75px; "|[[ZIBIssues500_2#ZIB-1209 | ZIB-1209 ]]
|Tekstueel en in voorbeelden aanpassen zib Alert vanwege de nieuwe zib CI
|}
</div>
</div>


Regel 202: Regel 118:
rect 586 432 704 482 [[#AlertNameCodelist]]
rect 586 432 704 482 [[#AlertNameCodelist]]
rect 199 177 317 227 [[#AlertTypeCodelist]]
rect 199 177 317 227 [[#AlertTypeCodelist]]
rect 588 312 702 382 [[#11780]]
rect 588 312 702 382 [[#893]]
rect 707 114 815 184 [[#11785]]
rect 707 114 815 184 [[#898]]
rect 448 312 562 382 [[Problem-v4.6(2022EN)]]
rect 448 312 562 382 [[Problem-v4.6(2022EN)]]
rect 338 166 446 236 [[#11783]]
rect 338 166 446 236 [[#896]]
rect 507 157 634 243 [[#11782]]
rect 507 157 634 243 [[#895]]
rect 526 43 616 111 [[#13623]]
rect 526 43 616 111 [[#1706]]
rect 712 200 811 254 [[#13642]]
rect 712 200 811 254 [[#1712]]
desc none
desc none
</imagemap>
</imagemap>
Regel 218: Regel 134:
|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="NL: Alert">[[Bestand: arrowdown.png | 10px | link=]]Alert</span>
|colspan ="6" style ="padding-left: 0px"|<span Id=895 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 227: Regel 143:
||NL-CM:8.3.8
||NL-CM:8.3.8
|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=13642 Title="NL: EindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]EndDateTime</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=1712 Title="NL: EindDatumTijd">[[Bestand: arrowright.png | 10px | link=]]EndDateTime</span>
|0..1
|0..1
|The date and time at which the described condition was retracted as a warning.   
|The date and time at which the described condition was retracted as a warning.   
Regel 238: Regel 154:
||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="NL: Conditie::Probleem">[[Bestand: arrowright.png | 10px | link=]]Condition::Concern</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=900 Title="NL: Conditie::Probleem">[[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 252: Regel 168:
||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="NL: AlertNaam">[[Bestand: arrowright.png | 10px | link=]]AlertName</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=893 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&#39; 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.
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.


Regel 267: Regel 183:
||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="NL: BeginDatumTijd">[[Bestand: arrowright.png | 10px | link=]]StartDateTime</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=898 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 278: Regel 194:
||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="NL: AlertType">[[Bestand: arrowright.png | 10px | link=]]AlertType</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=896 Title="NL: 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 291: Regel 207:
||NL-CM:8.3.7
||NL-CM:8.3.7
|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=13623 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|colspan ="5" style ="padding-left: 0px"|<span Id=1706 Title="NL: Toelichting">[[Bestand: arrowright.png | 10px | link=]]Comment</span>
|0..1
|0..1
|Explanatory comments to the alert that can not be expressed in any of the other elements.
|Explanatory comments to the alert that can not be expressed in any of the other elements.
Regel 297: Regel 213:
{|
{|
|-
|-
|<span title = "Codesystem: LOINC (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|<span title = "Codesystem: LOINC; Verklarend commentaar [interpretatie] in {systeem} (Nar)" >[https://terminologie.nictiz.nl/art-decor/loinc?conceptId=48767-8 48767-8] Annotation comment [Interpretation] Narrative</span>
|}
|}
|
|
Regel 307: Regel 223:
''Only available in Dutch<!--noTranslation-->''
''Only available in Dutch<!--noTranslation-->''


{|class="wikitable" width="714px" style= "font-size: 9.5pt;"
Voorbeeld file fout: Unable to find the specified file. : nl.zorg.Alert-v4.1(NL)_Voorbeeld.docx
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 20%; "|<font color=#FFFFFF><b>AlertType</b></font>
| style="background-color: #1F497D; width: 32%; "|<font color=#FFFFFF><b>BegindatumTijd</b></font>
| style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>EinddatumTijd</b></font>
| style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Conditie</b></font>
|-style=vertical-align:top;
|colspan="2" style="background-color: #548DD4; width: 52%; "|
| style="background-color: #548DD4; width: 24%; "|
| style="background-color: #548DD4; width: 24%; "|<font color=#FFFFFF><b>Pro</b></font><font color=#FFFFFF><b>bleemnaam</b></font>
|-style=vertical-align:top;
| style="background-color: #FFFFFF; width: 20%; "|Conditie
| style="background-color: #FFFFFF; width: 32%; "|15-9-2012
| style="width: 24%; "|30-12-2012
| style="width: 24%; "|Zwanger
|-style=vertical-align:top;
| style="width: 20%; "|
| style="width: 32%; "|
| style="width: 24%; "|
| style="width: 24%; "|
|-style=vertical-align:top;
| style="background-color: #1F497D; width: 20%; "|<font color=#FFFFFF><b>AlertType</b></font>
| style="background-color: #1F497D; width: 32%; "|<font color=#FFFFFF><b>BegindatumTijd</b></font>
| style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>EinddatumTijd</b></font>
| style="background-color: #1F497D; width: 24%; "|<font color=#FFFFFF><b>Alertnaam</b></font>
|-style=vertical-align:top;
| style="background-color: #FFFFFF; width: 20%; "|Waarschuwing
| style="background-color: #FFFFFF; width: 32%; "|01-06-2010
| style="width: 24%; "|<noWiki>-</noWiki>--
| style="width: 24%; "|Drager MRSA
|}
 
==Instructions==
==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.
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.
Regel 374: Regel 259:
|Drager Enterobacteriaceae – BRMO excl. CPE
|Drager Enterobacteriaceae – BRMO excl. CPE
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Drager van multiresistente Stenotrophomonas maltophilia (finding)">Carrier of multidrug resistant Stenotrophomonas maltophilia</span>
|<span title = "Drager van multiresistente Stenotrophomonas maltophilia (finding)">Carrier of multiple drug resistant Stenotrophomonas maltophilia</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97981000146105 97981000146105]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97981000146105 97981000146105]
|SNOMED CT
|SNOMED CT
Regel 380: Regel 265:
|Drager Stenotrophomonas maltophilia – BRMO
|Drager Stenotrophomonas maltophilia – BRMO
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Drager van multiresistente Acinetobacter (finding)">Carrier of multidrug resistant Acinetobacter</span>
|<span title = "Drager van multiresistente Acinetobacter (finding)">Carrier of multiple drug resistant Acinetobacter</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97971000146108 97971000146108]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97971000146108 97971000146108]
|SNOMED CT
|SNOMED CT
Regel 386: Regel 271:
|Drager Acinetobacter spp – BRMO
|Drager Acinetobacter spp – BRMO
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Drager van multiresistente Pseudomonas aeruginosa (finding)">Carrier of multidrug resistant Pseudomonas aeruginosa</span>
|<span title = "Drager van multiresistente Pseudomonas aeruginosa (finding)">Carrier of multiple drug resistant Pseudomonas aeruginosa</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=98001000146104 98001000146104]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=98001000146104 98001000146104]
|SNOMED CT
|SNOMED CT
Regel 398: Regel 283:
|Drager Enterococcus faecium – VRE
|Drager Enterococcus faecium – VRE
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Drager van multiresistente Streptococcus pneumoniae (finding)">Carrier of multidrug resistant Streptococcus pneumoniae</span>
|<span title = "Drager van multiresistente Streptococcus pneumoniae (finding)">Carrier of multiple drug resistant Streptococcus pneumoniae</span>
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97991000146107 97991000146107]
|[https://terminologie.nictiz.nl/art-decor/snomed-ct?conceptId=97991000146107 97991000146107]
|SNOMED CT
|SNOMED CT
Regel 410: Regel 295:
|Drager MRSA
|Drager MRSA
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Drager van humaan immunodeficiëntievirus (finding)">Human immunodeficiency virus carrier</span>
|<span title = "Drager van humaan immunodefici&#235;ntievirus (finding)">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 447: Regel 332:
|conditie
|conditie
|-style="vertical-align:top; "
|-style="vertical-align:top; "
|<span title = "Alert [type] in ^patiënt (Nom)">Alert</span>
|<span title = "Alert [type] in ^pati&#235;nt (Nom)">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 464: Regel 349:
:--
:--
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
==Technical specifications in HL7v3 CDA and HL7 FHIR<!--ftHeader-->==
To exchange information based on health and care information models, additional, more technical specifications are required.<BR>
To exchange information based on health and care information models, additional, more technical specifications are required.&lt;BR&gt;
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
Not every environment can handle the same technical specifications. For this reason, there are several types of technical specifications:<!--ftReferenceIntro-->
<ul>
<ul>
<li>HL7® version 3 CDA compatible specifications, available through the Nictiz ART-DECOR® environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|8.3}}</li>
<li>HL7&#174; version 3 CDA compatible specifications, available through the Nictiz ART-DECOR&#174; environment<!--ftArtDecorReference--> {{ArtDecorLinks|2022|8.3}}</li>
<li>HL7® FHIR® compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022}}</li>
<li>HL7&#174; FHIR&#174; compatible specifications, available through the Nictiz environment on the Simplifier FHIR<!--ftSimplifierReference--> {{SimplefierLinks|2022|Alert}}</li>
</ul>
</ul>
==Downloads<!--ftDownloadTitle-->==
==Downloads<!--ftDownloadTitle-->==
Regel 476: Regel 361:
SNOMED CT and LOINC codes are based on:
SNOMED CT and LOINC codes are based on:
<ul>
<ul>
<li>SNOMED Clinical Terms version: 20220131 [R] (January 2022 Release)</li>
<li>SNOMED Clinical Terms versie: 20230930 [R] (september 2023-editie)</li>
<li>LOINC version 2.67</li>
<li>LOINC version 2.76</li>
</ul>
</ul>
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Huidige versie van 27 mrt 2024 om 10:24


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 NL.png
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


#AlertNameCodelist#AlertTypeCodelist#893#898Problem-v4.6(2022EN)#896#895#1706#1712Alert-v4.1Model(2022EN).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.
TS.png NL-CM:8.3.8 Arrowright.pngEndDateTime 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).

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.
Block.png Problem
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 0..1 Indicates the type of alert, meaning a rough description of the cause or origin of the warning.
List2.png AlertTypeCodelist
ST.png NL-CM:8.3.7 Arrowright.pngComment 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 List2.png

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

Information model references

This information model refers to

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

Downloads

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 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 List2.png
This page is generated on 27/03/2024 11:08:17 with ZibExtraction v. 9.3.8851.20230


Back 16.png Back to HCIM list