{
"description": "Alert as defined by the Dutch Health and Care Information models (Dutch: Zorginformatiebouwsteen or ZIB) version 3.2, release 2017.\\r\\n\\r\\nAn 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. \\r\\nDisorders 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. \\r\\nWarnings for non-allergic disorders can concern:\\r\\n- 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\\r\\n- Impaired functioning of an organ system (heart failure, impaired liver or kidney function, weakened immune system) \\r\\n- Risk of spreading certain microorganisms (multi-resistant bacteria, tubercle bacilli, HIV, HBV, Ebola virus)\\r\\n- Other risks",
"_filename": "zib-Alert.json",
"package_name": "nictiz.fhir.nl.stu3.zib2017",
"date": null,
"derivation": "constraint",
"publisher": "Nictiz",
"fhirVersion": "3.0.2",
"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.",
"name": "Zib Alert",
"mapping": [ {
"uri": "https://zibs.nl/wiki/Alert-v1.0(2015EN)",
"name": "HCIM Alert-v1.0(2015EN)",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"uri": "https://zibs.nl/wiki/Alert-v3.0(2016EN)",
"name": "HCIM Alert-v3.0(2016EN)",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"uri": "https://zibs.nl/wiki/Alert-v3.2(2017EN)",
"name": "HCIM Alert-v3.2(2017EN)",
"identity": "hcim-alert-v3.2-2017EN"
}, {
"uri": "https://zibs.nl/wiki/BasicElements-v1.0(2017EN)",
"name": "HCIM BasicElements-v1.0(2017EN)",
"identity": "hcim-basicelements-v1.0-2017EN"
} ],
"abstract": false,
"copyright": "CC0",
"type": "Flag",
"experimental": null,
"resourceType": "StructureDefinition",
"title": "HCIM Alert",
"package_version": "1.3.6",
"status": "active",
"id": "89baf8d2-7d58-4633-8c42-ef8efe7d82bf",
"kind": "resource",
"url": "http://nictiz.nl/fhir/StructureDefinition/zib-Alert",
"version": "2.1.0",
"differential": {
"element": [ {
"id": "Flag",
"path": "Flag",
"short": "Alert",
"mapping": [ {
"map": "NL-CM:8.3.1",
"comment": "Alert",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"map": "NL-CM:8.3.1",
"comment": "Alert",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"map": "NL-CM:8.3.1",
"comment": "Alert",
"identity": "hcim-alert-v3.2-2017EN"
} ]
}, {
"id": "Flag.extension",
"path": "Flag.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"path": "Flag.extension",
"definition": "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.\r\nIf there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the ConcernTransfer information model should be used.",
"short": "Condition",
"mapping": [ {
"map": "NL-CM:8.3.3",
"comment": "Condition",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"map": "NL-CM:8.3.3",
"comment": "Condition",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"map": "NL-CM:8.3.3",
"comment": "Condition",
"identity": "hcim-alert-v3.2-2017EN"
} ],
"type": [ {
"code": "Extension",
"profile": "http://hl7.org/fhir/StructureDefinition/flag-detail"
} ],
"sliceName": "ConcernReference",
"alias": [ "Conditie" ],
"max": "1",
"id": "Flag.extension:ConcernReference"
}, {
"id": "Flag.extension:ConcernReference.valueReference:valueReference",
"path": "Flag.extension.valueReference",
"sliceName": "valueReference"
}, {
"id": "Flag.identifier",
"path": "Flag.identifier",
"mapping": [ {
"map": "NL-CM:0.0.6",
"comment": "IdentificationNumber",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Flag.category",
"path": "Flag.category",
"alias": [ "AlertType" ],
"short": "AlertType",
"binding": {
"strength": "extensible",
"description": "Indicates the type of alert, meaning a rough description of the cause or origin of the warning.",
"valueSetReference": {
"display": "AlertTypeCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.1--20171231000000"
}
},
"example": [ {
"label": "Example of AlertType",
"valueCodeableConcept": {
"coding": [ {
"code": "75323-6",
"system": "http://loinc.org",
"display": "condition",
"userSelected": false
} ]
}
} ],
"mapping": [ {
"map": "NL-CM:8.3.6",
"comment": "AlertType",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"map": "NL-CM:8.3.6",
"comment": "AlertType",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"map": "NL-CM:8.3.6",
"comment": "AlertType",
"identity": "hcim-alert-v3.2-2017EN"
} ],
"definition": "Indicates the type of alert, meaning a rough description of the cause or origin of the warning."
}, {
"id": "Flag.code",
"path": "Flag.code",
"alias": [ "AlertNaam" ],
"short": "AlertName",
"binding": {
"strength": "extensible",
"valueSetReference": {
"display": "AlertNaamCodelijst",
"reference": "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.8.3.2--20171231000000"
}
},
"example": [ {
"label": "Example of AlertName",
"valueCodeableConcept": {
"coding": [ {
"code": "432415000",
"system": "http://snomed.info/sct",
"display": "Methicillin resistant staphylococcus aureus carrier"
} ]
}
} ],
"mapping": [ {
"map": "NL-CM:8.3.4",
"comment": "AlertName",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"map": "NL-CM:8.3.4",
"comment": "AlertName",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"map": "NL-CM:8.3.4",
"comment": "AlertName",
"identity": "hcim-alert-v3.2-2017EN"
} ],
"definition": "A warning, other than a condition or problem. For example, a patient can be given an ‘Aggressive patient' alert.\r\nThe 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."
}, {
"id": "Flag.subject",
"path": "Flag.subject",
"type": [ {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-location"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/Group"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://hl7.org/fhir/StructureDefinition/PlanDefinition"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Product"
}, {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Procedure"
} ]
}, {
"id": "Flag.subject.extension",
"path": "Flag.subject.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Flag.subject.extension:practitionerRole",
"max": "1",
"path": "Flag.subject.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
}, {
"id": "Flag.period.start",
"path": "Flag.period.start",
"alias": [ "BeginDatumTijd" ],
"short": "StartDateTime",
"example": [ {
"label": "Example of StartDateTime",
"valueDateTime": "2017-02-07"
} ],
"mapping": [ {
"map": "NL-CM:8.3.5",
"comment": "StartDateTime",
"identity": "hcim-alert-v1.0-2015EN"
}, {
"map": "NL-CM:8.3.5",
"comment": "StartDateTime",
"identity": "hcim-alert-v3.0-2016EN"
}, {
"map": "NL-CM:8.3.5",
"comment": "StartDateTime",
"identity": "hcim-alert-v3.2-2017EN"
} ],
"definition": "The date and time at which the described condition was entered as a warning.\r\nThis 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)."
}, {
"id": "Flag.encounter",
"path": "Flag.encounter",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-Encounter"
} ]
}, {
"id": "Flag.author",
"path": "Flag.author",
"type": [ {
"code": "Reference",
"targetProfile": "http://nictiz.nl/fhir/StructureDefinition/zib-MedicalDeviceProduct"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-patient"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-practitioner"
}, {
"code": "Reference",
"targetProfile": "http://fhir.nl/fhir/StructureDefinition/nl-core-organization"
} ],
"mapping": [ {
"map": "NL-CM:0.0.7",
"comment": "Author",
"identity": "hcim-basicelements-v1.0-2017EN"
} ]
}, {
"id": "Flag.author.extension",
"path": "Flag.author.extension",
"slicing": {
"rules": "open",
"discriminator": [ {
"path": "url",
"type": "value"
} ]
}
}, {
"id": "Flag.author.extension:practitionerRole",
"max": "1",
"path": "Flag.author.extension",
"type": [ {
"code": "Extension",
"profile": "http://nictiz.nl/fhir/StructureDefinition/practitionerrole-reference"
} ],
"sliceName": "practitionerRole"
} ]
},
"contact": [ {
"name": "Nictiz",
"telecom": [ {
"use": "work",
"value": "info@nictiz.nl",
"system": "email"
} ]
} ],
"baseDefinition": "http://hl7.org/fhir/StructureDefinition/Flag"
}