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Resource StructureDefinition/FHIR Server from package NICEProfiling.v23Q1#0.5.0 (62 ms)

Package NICEProfiling.v23Q1
Type StructureDefinition
Id Id
FHIR Version R3
Source https://simplifier.net/resolve?scope=NICEProfiling.v23Q1@0.5.0&canonical=https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-GlasgowComaScale-2022Q1
Url https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-GlasgowComaScale-2022Q1
Version 1
Status active
Date 2021-11-24T14:03:54.3795639Z
Name NICE-GlasgowComaScale
Title NICE-GlasgowComaScale
Experimental False
Description This profile is for submitting the response scores of the Glasgow Coma Scale (GCS) measurement with the lowest total score during the first 24 hours of admission. This includes: - Lowest eye response - Lowest motor response - Lowest verbal response
Purpose This profile is used to submit Glasgow Coma Scale related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) GlasgowComaScale , 2017 release version 3.1
Copyright CC0
Type Observation
Kind resource

Resources that use this resource

No resources found


Resources that this resource uses

StructureDefinition
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1 NICE-Encounter
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1 NICE-Patient
https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1 NICE-Verified


Source

{
  "resourceType" : "StructureDefinition",
  "id" : "NICE-GlasgowComaScale",
  "meta" : {
    "lastUpdated" : "2023-01-25T15:41:57.1409255+00:00"
  },
  "url" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-GlasgowComaScale-2022Q1",
  "version" : "1",
  "name" : "NICE-GlasgowComaScale",
  "title" : "NICE-GlasgowComaScale",
  "status" : "active",
  "date" : "2021-11-24T14:03:54.3795639Z",
  "publisher" : "NICE",
  "contact" : [
    {
      "name" : "NICE",
      "telecom" : [
        {
          "system" : "email",
          "value" : "vragen@stichting-nice.nl"
        }
      ]
    }
  ],
  "description" : "This profile is for submitting the response scores of the Glasgow Coma Scale (GCS) measurement with the lowest total score during the first 24 hours of admission.\r\nThis includes: \r\n- Lowest eye response\r\n- Lowest motor response\r\n- Lowest verbal response",
  "purpose" : "This profile is used to submit Glasgow Coma Scale related information to the Dutch National Intensive Care Evaluation (NICE). It was derived from the Nictiz Health and Care Information Model (HCIM; Dutch: Zorginformatiebouwsteen or ZIB) GlasgowComaScale , 2017 release version 3.1",
  "copyright" : "CC0",
  "fhirVersion" : "3.0.2",
  "mapping" : [
    {
      "identity" : "NICE-Datadictionary-MDS",
      "uri" : "https://www.stichting-nice.nl/dd/#528",
      "name" : "NICE-Datadictionary-MDS",
      "comment" : "The Minimal Data Set (MDS)"
    }
  ],
  "kind" : "resource",
  "abstract" : false,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation.extension",
        "path" : "Observation.extension",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "url"
            }
          ],
          "rules" : "open"
        },
        "min" : 1
      },
      {
        "id" : "Observation.extension:Verified",
        "path" : "Observation.extension",
        "sliceName" : "Verified",
        "short" : "Is the instance validated by a medical professional?",
        "definition" : "Extension that is used to indicate whether the entire instance has been validated.\r\n\r\nEvery instance shall be validated by a hospital member / datamanager. However, this is not always feasible in case of automated submission of NICE data elements. This extensions shall be used to indicate the validation status of the instance.",
        "min" : 1,
        "max" : "1",
        "type" : [
          {
            "code" : "Extension",
            "profile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Verified-2022Q1"
          }
        ]
      },
      {
        "id" : "Observation.status",
        "path" : "Observation.status",
        "short" : "Validated (final)",
        "definition" : "Needs to be validated, so a 'final' value is expected.",
        "fixedCode" : "final",
        "mustSupport" : true
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "mustSupport" : true
      },
      {
        "id" : "Observation.code.coding.system",
        "path" : "Observation.code.coding.system",
        "fixedUri" : "http://loinc.org"
      },
      {
        "id" : "Observation.code.coding.code",
        "path" : "Observation.code.coding.code",
        "fixedCode" : "9269-2"
      },
      {
        "id" : "Observation.subject",
        "path" : "Observation.subject",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Patient-2022Q1"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.context",
        "path" : "Observation.context",
        "type" : [
          {
            "code" : "Reference",
            "targetProfile" : "https://fhir.stichting-nice.nl/STU3/StructureDefinition/NICE-Encounter-2022Q1"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.effective[x]:effectiveDateTime",
        "path" : "Observation.effectiveDateTime",
        "sliceName" : "effectiveDateTime",
        "min" : 1,
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mustSupport" : true
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "mustSupport" : false
      },
      {
        "id" : "Observation.dataAbsentReason",
        "path" : "Observation.dataAbsentReason",
        "mustSupport" : true
      },
      {
        "id" : "Observation.related",
        "path" : "Observation.related",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "slicing" : {
          "description" : "There are three aspects of behaviour that are independently measured as part of an assessment of a patient’s GCS – motor responsiveness, verbal performance and eye-opening. The highest response from each category elicited by the healthcare professional is scored on the chart.",
          "rules" : "open"
        },
        "max" : "1",
        "mustSupport" : true
      },
      {
        "id" : "Observation.component:gcsEyes",
        "path" : "Observation.component",
        "sliceName" : "gcsEyes",
        "max" : "1",
        "mustSupport" : true,
        "mapping" : [
          {
            "identity" : "NICE-Datadictionary-MDS",
            "map" : "https://www.stichting-nice.nl/dd/#104",
            "comment" : "Eye response at the time of the lowest GCS score during the first 24 hours of IC admission."
          },
          {
            "identity" : "NICE-Datadictionary-SOFA",
            "map" : "https://www.stichting-nice.nl/dd/#386",
            "comment" : "Eye response at the time of the lowest GCS score on the SOFA day concerned."
          }
        ]
      },
      {
        "id" : "Observation.component:gcsEyes.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "fixedUri" : "http://loinc.org"
      },
      {
        "id" : "Observation.component:gcsEyes.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "fixedCode" : "9267-6"
      },
      {
        "id" : "Observation.component:gcsEyes.value[x]:valueQuantity",
        "path" : "Observation.component.valueQuantity",
        "sliceName" : "valueQuantity",
        "type" : [
          {
            "code" : "Quantity"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsEyes.value[x]:valueQuantity.value",
        "path" : "Observation.component.valueQuantity.value",
        "minValueDecimal" : 1.0,
        "maxValueDecimal" : 4.0,
        "constraint" : [
          {
            "key" : "valueRange",
            "severity" : "error",
            "human" : "The eyesight Glasgow Coma Scale ranges from 1 to 4",
            "expression" : "gcsEyes.valueQuantity.value >= 1.0 and gcsEyes.valueQuantity.value <= 4.0"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsVerbal",
        "path" : "Observation.component",
        "sliceName" : "gcsVerbal",
        "max" : "1",
        "mustSupport" : true,
        "mapping" : [
          {
            "identity" : "NICE-Datadictionary-MDS",
            "map" : "https://www.stichting-nice.nl/dd/#435",
            "comment" : "Verbal response at the time of the lowest GCS score during the first 24 hours of IC admission."
          },
          {
            "identity" : "NICE-Datadictionary-SOFA",
            "map" : "https://www.stichting-nice.nl/dd/#649",
            "comment" : "Verbal response at the time of the lowest GCS score on the SOFA day concerned."
          }
        ]
      },
      {
        "id" : "Observation.component:gcsVerbal.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "fixedUri" : "http://loinc.org"
      },
      {
        "id" : "Observation.component:gcsVerbal.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "fixedCode" : "9270-0"
      },
      {
        "id" : "Observation.component:gcsVerbal.value[x]:valueQuantity",
        "path" : "Observation.component.valueQuantity",
        "sliceName" : "valueQuantity",
        "type" : [
          {
            "code" : "Quantity"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsVerbal.value[x]:valueQuantity.value",
        "path" : "Observation.component.valueQuantity.value",
        "minValueDecimal" : 1.0,
        "maxValueDecimal" : 5.0,
        "constraint" : [
          {
            "key" : "valueRange",
            "severity" : "error",
            "human" : "The verbal Glasgow Coma Scale ranges from 1 to 5",
            "expression" : "gcsVerbal.valueQuantity.value >= 1.0 and gcsVerbal.valueQuantity.value <= 5.0"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsMotor",
        "path" : "Observation.component",
        "sliceName" : "gcsMotor",
        "max" : "1",
        "mustSupport" : true,
        "mapping" : [
          {
            "identity" : "NICE-Datadictionary-MDS",
            "map" : "https://www.stichting-nice.nl/dd/#198",
            "comment" : "Motor response at the time of the lowest GCS score during the first 24 hours of IC admission."
          },
          {
            "identity" : "NICE-Datadictionary-SOFA",
            "map" : "https://www.stichting-nice.nl/dd/#390",
            "comment" : "Motor response at the time of the lowest GCS score on the SOFA day concerned."
          }
        ]
      },
      {
        "id" : "Observation.component:gcsMotor.code.coding.system",
        "path" : "Observation.component.code.coding.system",
        "fixedUri" : "http://loinc.org"
      },
      {
        "id" : "Observation.component:gcsMotor.code.coding.code",
        "path" : "Observation.component.code.coding.code",
        "fixedCode" : "9268-4"
      },
      {
        "id" : "Observation.component:gcsMotor.value[x]:valueQuantity",
        "path" : "Observation.component.valueQuantity",
        "sliceName" : "valueQuantity",
        "type" : [
          {
            "code" : "Quantity"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsMotor.value[x]:valueQuantity.value",
        "path" : "Observation.component.valueQuantity.value",
        "minValueDecimal" : 1.0,
        "maxValueDecimal" : 6.0,
        "constraint" : [
          {
            "key" : "valueRange",
            "severity" : "error",
            "human" : "The motor Glasgow Coma Scale ranges from 1 to 4",
            "expression" : "gcsMotor.valueQuantity.value >= 1.0 and gcsMotor.valueQuantity.value <= 6.0"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsTotal",
        "path" : "Observation.component",
        "sliceName" : "gcsTotal",
        "max" : "1",
        "mustSupport" : false
      },
      {
        "id" : "Observation.component:gcsTotal.value[x]:valueQuantity",
        "path" : "Observation.component.valueQuantity",
        "sliceName" : "valueQuantity",
        "type" : [
          {
            "code" : "Quantity"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsTotal.value[x]:valueQuantity.value",
        "path" : "Observation.component.valueQuantity.value",
        "minValueDecimal" : 0.0,
        "maxValueDecimal" : 15.0,
        "constraint" : [
          {
            "key" : "valueRange",
            "severity" : "error",
            "human" : "The total Glasgow Coma Scale ranges from 0.0 to 15.0",
            "expression" : "gcsTotal.valueQuantity.value >= 0.0 and gcsTotal.valueQuantity.value <= 15.0"
          }
        ]
      }
    ]
  },
  "text" : {
  }
}

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