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General information

Name: nl.zorg.Alert NL.png
Version: 4.1
HCIM Status:Final
Release: 2023
Release status: Prepublished
Release date: 15-10-2023

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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::DescriptionLanguage nl
DCM::EndorsingAuthority.Name PM
DCM::Id 2.16.840.1.113883.
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)

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

Publicatieversie 3.3 (26-02-2019)

ZIB-682 toelichting toevoegen aan alert

Publicatieversie 3.4 (06-07-2019)

ZIB-813 AlertNaamCodelijst uitbreiden met dragerschap van multiresistente bacteriën

Publicatieversie 4.0 (31-01-2020)

ZIB-905 Typo: vasrgelegd bij Alert
ZIB-526 Toevoegen EindDatum bij zibs die ook BeginDatum kennen

Publicatieversie 4.1 (01-09-2020)

ZIB-1160 Typo in wiki zib Alert 4.0
ZIB-1209 Tekstueel en in voorbeelden aanpassen zib Alert vanwege de nieuwe zib CI


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


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
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

AlertType BegindatumTijd EinddatumTijd Conditie
Conditie 15-9-2012 30-12-2012 Zwanger
AlertType BegindatumTijd EinddatumTijd Alertnaam
Waarschuwing 01-06-2010 --- Drager MRSA


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.



Valueset OID: 2.16.840.1.113883. 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


Valueset OID: 2.16.840.1.113883. 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

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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.
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 Prerelease 2023-1
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 31/10/2023 18:32:47 with ZibExtraction v. 9.3.8704.31782

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