---
title: "Report and manage a clinical alert"
description: "Record a finding with its evidence in a person's record, escalate it when needed and, as the treating physician, close it with your documented decision."
---

> Documentation Index
> Fetch the complete documentation index at: https://docs.getarbol.com/llms.txt
> Use this file to discover all available pages before exploring further.

# Report and manage a clinical alert

> **Early access**
>
> Ámbar is in early access: its screens and names may change. To use it in your organization, talk to your Arbol team.

Report a clinical alert when you find something about a person that the clinical team must review. Ámbar keeps what was reported, its evidence and every decision made about it.

Ámbar doesn't diagnose or decide on treatment: it records the finding and puts it in front of whoever must decide.

## Before you start

- You need a profile that can record alerts and a role that allows **Acceder a información clínica sensible** (access sensitive clinical information).
- The person needs an active care contract.
- Closing an alert is the **Médico tratante**'s (treating physician's) decision. The rest of the team can escalate it.

## Report an alert

1. Open the person's record (see [Find a patient and review their record](/en/ambar/patient-record/)). On the **Resumen** (summary) tab, look for the alerts: if none is open, a line says **Sin alertas clínicas reportadas** (no clinical alerts reported); if there are some, the panel is called **Alertas clínicas abiertas** (open clinical alerts) with their number.

2. Click **Reportar alerta** (report alert). **Reportar alerta clínica** (report clinical alert) opens.

3. If the person has several active contracts, choose the **Contrato** (contract). If they have only one, Ámbar shows it.

4. Under **Nivel de alerta** (alert level), choose **Seguimiento** (follow-up), **Prioridad clínica** (clinical priority) or **Seguridad inmediata** (immediate safety).

5. In **Hallazgo y evidencia** (finding and evidence), write the finding, the date and the source of the evidence, in at least 10 characters.

   Example (fictional): «En la llamada del 3 de octubre la persona informó que no recibió su medicamento del mes. Fuente: llamada registrada en el Historial» (in the October 3 call the person said they didn't receive this month's medication; source: call recorded in the history).

6. Click **Registrar alerta** (record alert).

The alert shows up in the record's panel, in **Mi trabajo** › **Alertas clínicas** for everyone who has the person in their scope, and in **Para hoy** (for today) on **Inicio**.

## Escalate or close an alert

1. In the record's **Alertas clínicas abiertas** panel, click **Gestionar** (manage) next to the alert. It opens with **Lo reportado** (what was reported) and, at the bottom, its **Trazabilidad** (audit trail): who did what and when.

   On the record's other tabs, a notice with the number of open alerts takes you to them with **Ver alertas** (see alerts).

2. In **Evidencia y motivo de la decisión** (evidence and reason for the decision), describe the evidence you reviewed and what you decide, in at least 10 characters.

3. Choose what to do:
   - To raise the level, click **Escalar a…** (escalate to…), or choose the **Nuevo nivel de alerta** (new alert level) and click **Escalar alerta** (escalate alert). An alert only goes up a level, never down.
   - If you're the treating physician, click **Cerrar con decisión documentada** (close with documented decision).

## Mental health reports

If your profile allows it, next to **Reportar alerta** you see **Reportar salud mental** (report mental health). That report keeps what was said and its source for human review: the professional decides the level, and saving it neither diagnoses nor triggers a referral. You save it with **Guardar reporte para revisión** (save report for review).

## Common problems

- **It says «Sin contrato activo»** (no active contract). To report an alert, the person needs an active care contract. Check the **Datos y contratos** (details and contracts) tab.
- **The Registrar alerta button is disabled.** Choose the contract and the level, and write at least 10 characters in **Hallazgo y evidencia**.
- **It says «El reporte cambió mientras preparaba esta gestión»** (the report changed while you were preparing this). Someone acted on the alert at the same time. Your draft is kept: check the **Trazabilidad** before deciding.
- **I don't see Cerrar con decisión documentada.** Only the treating physician closes alerts; you can escalate it.
- **I don't see the alerts in the record.** Your session can't read this person's clinical information. Ask your administrator to review your access.

Source: https://docs.getarbol.com/en/ambar/clinical-alerts/index.mdx