SEMedicalAlertInformationImplementationGuide, published by HL7 Sweden. This guide is not an authorized publication; it is the continuous build for version 0.1.0 built by the FHIR (HL7® FHIR® Standard) CI Build. This version is based on the current content of https://github.com/HL7Sweden/hl7.fhir.r4.ig.medicalalertinformation/ and changes regularly. See the Directory of published versions

Medical alert signals

Medical alert signals are used to quickly and clearly highlight important conditions, treatments, or risks in a patient that may affect care and management. Below, the different types of medical alert signals used within Swedish healthcare are presented, together with their associated profiles and descriptions. Each signal has a specific meaning and may be linked to particular care routines, infection control, hypersensitivity, or other important information that needs to be considered in the patient’s care.

The different types of medical alert signals are defined in the National Board of Health and Welfare’s national specification for medical alert information.

Medical condition and treatments

Attention Signal	Profile	Description
1 Other medical condition	SEAlertInformation-1-OtherMedicalConditionFlag	A medical condition that is not an allergy, presence of infectious disease, presence of infectious agent, presence of implant, or presence of graft that the patient has or does not have. This is documented using the Observation class in the reference model. Attention information regarding another medical condition is considered current if there is a documented occurrence of the condition in the patient, and no later record indicating that the patient no longer has this condition. The medical conditions that need to be highlighted are listed in the value set Attention information – Other medical condition.
2 Treatment	SEAlertInformation-2-TreatmentFlag	Interventions aimed at preventing illness, or preserving or improving the individual’s state of health. This is documented using the Activity class in the reference model. Attention information regarding treatment is considered current if there is a documented treatment with status ongoing, and no later record indicating that the treatment is no longer ongoing. The treatments that need to be highlighted are defined in the code system Attention information – Treatment, and include both pharmacological treatments and other treatments. Pharmacological treatments are listed in the code system as a selection of ATC codes (1.2.752.116.3.1.16.1.2.2). If documentation is made with SNOMED CT, code 416608005 (drug therapy) is recorded in the Treatment class, while information about which medicinal product is used in the treatment is recorded in the attribute type in the class Active substance or in the attribute product-id in the class Medicinal product.
3 Presence of transplants	SEAlertInformation-3-PresenceOfGraftsConditionFlag	Indicates the presence of transplants in the patient, such as transplanted organs or tissues. Attention information regarding transplants is considered current if there is a documented occurrence of the transplant in the patient, and no later record indicating that the transplant is no longer present.
4 Presence of implants	SEAlertInformation-4-PresenceOfImplantFlag	Indicates the presence of implants in the patient, such as medical devices or prostheses that have been implanted. Attention information regarding implants is considered current if there is a documented occurrence of the implant in the patient, and no later record indicating that the implant is no longer present.

Infection

Attention Signal	Profile	Description
5 Presence of infectious agent	SEAlertInformation-5-PresenceOfInfectiousAgentFlag	Indicates the presence of an infectious agent in the patient, such as bacteria, viruses, or other microorganisms that can cause infection. Attention information regarding an infectious agent is considered current if there is a documented occurrence of the agent in the patient, and no later record indicating that the agent is no longer present.
6 Presence of contagious disease	SEAlertInformation-6-PresenceOfContagiousDiseaseFlag	Indicates the presence of a contagious disease in the patient, such as diseases that can be transmitted between individuals. Attention information regarding a contagious disease is considered current if there is a documented occurrence of the disease in the patient, and no later record indicating that the disease is no longer present.

Allergy and hypersensitivity

Attention Signal	Profile	Description
7 Hypersensitivity condition	SEAlertInformation-7-AllergyIntoleranceFlag	Indicates a hypersensitivity to a specific chemical, active substance, excipient, or a specific medicinal product. Attention information regarding hypersensitivity is considered current if there is a documented occurrence of the hypersensitivity, and no later record indicating that the patient is no longer hypersensitive.

Deviations from standard care routines

Attention Signal	Profile	Description
8 Information that may lead to a special care routine	SEAlertInformation-8-SpecialCareRoutineFlag	Indicates information that may lead to special care routines for the patient, such as specific interventions or treatments based on the patient’s condition or needs.
9 Decision that may lead to a special care routine	SEAlertInformation-9-DecisionSpecialCareRoutineFlag	Indicates a decision that may lead to special care routines for the patient, such as specific interventions or treatments based on the patient’s condition or needs.

Non-structured attention information (Historically recorded attention information)

Attention Signal	Profile	Description
10 Non-structured attention information	SEAlertInformation-10-UnstructuredFlag	Non-structured attention information refers to historically recorded attention information that does not meet current requirements for information structure.