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Name: be.en.hd.Alert
Version: 0.0.1
Status: Draft


DCM::ContactInformation.Address *
DCM::ContactInformation.Name *
DCM::ContactInformation.Telecom *
DCM::ContentAuthorList Clinical Building Blocks Expert Group &
DCM::CreationDate 15-12-2014
DCM::DescriptionLanguage en
DCM::Id 2.16.840.1.113883.
DCM::KeywordList alerts, alert, waarschuwing
DCM::LifecycleStatus Draft
DCM::ModelerList Clinical Building Blocks Expert Group &
DCM::Name be.en.hd.Alert
DCM::ReviewerList Clinical Building Blocks Expert Group &
DCM::RevisionDate 05-01-2016
DCM::Version 0.0.1

Revision History


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 building block. 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


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

Refer to the legend page for more information about the used types and data types

rootconcept Alert
Definition Root concept of the Alert building block. This root concept contains all data elements of the Alert building block.
Type Zib.png
DCM::DefinitionCode NL-CM:8.3.1
data Condition::Concern
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.

If there is a contraindication, the code system G-Standard Contraindications (Table 40) from the ProblemNameCodeList of the ConcernTransfer building block should be used.

Datatype Container.png
DCM::DefinitionCode NL-CM:8.3.3
DCM::ReferencedDefinitionCode NL-CM:5.1.1 Dit is een verwijzing naar het concept Concern in de bouwsteen OverdrachtConcern.
data StartDateTime
Definition 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).

Datatype TS.png
DCM::DefinitionCode NL-CM:8.3.5
DCM::ExampleValue 09-10-2011
data AlertName
Definition 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.

Datatype CD.png
DCM::DefinitionCode NL-CM:8.3.4
DCM::ValueSet File:List.png AlertNameCodeList OID: 2.16.840.1.113883.
data AlertType
Definition Indicates the type of alert, meaning a rough description of the cause or origin of the warning.
Datatype CD.png
DCM::DefinitionCode NL-CM:8.3.6
DCM::ExampleValue Conditie
DCM::ValueSet File:List.png AlertTypeCodeList OID: 2.16.840.1.113883.

Code Lists



Concept Name Concept Code Coding System Name Coding System 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



Concept Name Concept Code Coding System Name Coding System 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