| Package | nictiz.fhir.nl.r4.zib2020 |
| Type | StructureDefinition |
| Id | Id |
| FHIR Version | R4 |
| Source | https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.10.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-DOSScore |
| Url | http://nictiz.nl/fhir/StructureDefinition/zib-DOSScore |
| Status | draft |
| Name | ZibDOSScore |
| Title | zib DOSScore |
| Experimental | False |
| Realm | nl |
| Description | The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient. |
| Purpose | This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) DOSScore v1.0 (2020)](https://zibs.nl/wiki/DOSScore-v1.0(2020EN)). |
| Copyright | Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise. |
| Type | Observation |
| Kind | resource |
| StructureDefinition | |
http://nictiz.nl/fhir/StructureDefinition/nl-core-DOSScore  | nl core DOSScore |
No resources found
FHIR{
"resourceType" : "StructureDefinition",
"id" : "zib-DOSScore",
"url" : "http://nictiz.nl/fhir/StructureDefinition/zib-DOSScore",
"name" : "ZibDOSScore",
"title" : "zib DOSScore",
"status" : "draft",
"publisher" : "Nictiz",
"contact" : [
{
"name" : "Nictiz",
"telecom" : [
{
"system" : "url",
"value" : "https://www.nictiz.nl",
"use" : "work"
}
]
}
],
"description" : "The Delirium Observation Screening Scale is a tool to determine whether a patient has delirium. The DOSS includes 13 observations of behavior (verbal and non-verbal) which represent the symptoms of a delirium. These observations can be performed during regular contact with the patient.",
"purpose" : "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) DOSScore v1.0 (2020)](https://zibs.nl/wiki/DOSScore-v1.0(2020EN)).",
"copyright" : "Copyright and related rights waived via CC0, https://creativecommons.org/publicdomain/zero/1.0/. This does not apply to information from third parties, for example a medical terminology system. The implementer alone is responsible for identifying and obtaining any necessary licenses or authorizations to utilize third party IP in connection with the specification or otherwise.",
"fhirVersion" : "4.0.1",
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"uri" : "https://zibs.nl/wiki/DOSScore-v1.0(2020EN)",
"name" : "zib DOSScore-v1.0(2020EN)"
}
],
"kind" : "resource",
"abstract" : true,
"type" : "Observation",
"baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
"derivation" : "constraint",
"differential" : {
"element" : [
{
"id" : "Observation",
"path" : "Observation",
"short" : "DOSScore",
"alias" : [
"DOSScore"
],
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.1",
"comment" : "DOSScore"
}
]
},
{
"id" : "Observation.code",
"path" : "Observation.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "http://snomed.info/sct",
"code" : "160591000146109"
}
]
}
},
{
"id" : "Observation.effective[x]",
"path" : "Observation.effective[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.effective[x]:effectiveDateTime",
"path" : "Observation.effective[x]",
"sliceName" : "effectiveDateTime",
"short" : "DOSScoreDateTime",
"definition" : "The date on which the DOS score is registered.",
"alias" : [
"DOSScoreDatumTijd"
],
"type" : [
{
"code" : "dateTime"
}
],
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.5",
"comment" : "DOSScoreDateTime"
}
]
},
{
"id" : "Observation.value[x]",
"path" : "Observation.value[x]",
"slicing" : {
"discriminator" : [
{
"type" : "type",
"path" : "$this"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.value[x]:valueInteger",
"path" : "Observation.value[x]",
"sliceName" : "valueInteger",
"short" : "DOSScoreTotal",
"definition" : "Per shift a total score is calculated (minimum 0 and maximum 13). The total scores of three shifts (day, evening and night shifts) are summed to the total score of the day (minimum 0 and maximum 39).\r\n\r\nThe DOS scale final score is calculated by dividing the total score of the day by 3 (minimum 0 and maximum 13).\r\n\r\nA DOS scale final score < 3 means that the patient is probably not delirious. A DOS scale final score > 3 means that the patient is probably delirious.",
"alias" : [
"DOSScoreTotaal"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 13,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.3",
"comment" : "DOSScoreTotal"
}
]
},
{
"id" : "Observation.note",
"path" : "Observation.note",
"max" : "1"
},
{
"id" : "Observation.note.text",
"path" : "Observation.note.text",
"short" : "Comment",
"definition" : "Comment on the DOS score.",
"alias" : [
"Toelichting"
],
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.2",
"comment" : "Comment"
}
]
},
{
"id" : "Observation.component",
"path" : "Observation.component",
"slicing" : {
"discriminator" : [
{
"type" : "value",
"path" : "code"
}
],
"rules" : "open"
}
},
{
"id" : "Observation.component:dozesOff",
"path" : "Observation.component",
"sliceName" : "dozesOff",
"max" : "1"
},
{
"id" : "Observation.component:dozesOff.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007006"
}
]
}
},
{
"id" : "Observation.component:dozesOff.value[x]",
"path" : "Observation.component.value[x]",
"short" : "DozesOff",
"definition" : "DOS observation: patient dozes off during conversation or activities.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"ZaktWeg"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.6",
"comment" : "DozesOff"
}
]
},
{
"id" : "Observation.component:easilyDistracted",
"path" : "Observation.component",
"sliceName" : "easilyDistracted",
"max" : "1"
},
{
"id" : "Observation.component:easilyDistracted.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007007"
}
]
}
},
{
"id" : "Observation.component:easilyDistracted.value[x]",
"path" : "Observation.component.value[x]",
"short" : "EasilyDistracted",
"definition" : "DOS observation: patient is easily distracted by stimuli from the environment.\r\n\r\nSomeone is easily distracted by stimuli from the environment when he/she responds verbally or non-verbally to sounds or movements that have no relation to him/her and the nature of which does not make you expect a reaction from him/her.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"SnelAfgeleid"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.7",
"comment" : "EasilyDistracted"
}
]
},
{
"id" : "Observation.component:maintainsAttention",
"path" : "Observation.component",
"sliceName" : "maintainsAttention",
"max" : "1"
},
{
"id" : "Observation.component:maintainsAttention.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007008"
}
]
}
},
{
"id" : "Observation.component:maintainsAttention.value[x]",
"path" : "Observation.component.value[x]",
"short" : "MaintainsAttention",
"definition" : "DOS observation: patient maintains attention to conversation or action.\r\n\r\nSomeone is maintaining attention to a conversation or action if he/she verbally or non-verbally shows that they are following the conversation or action.\r\n\r\nScore:\r\n1: never\r\n0: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"HeeftAandacht"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.8",
"comment" : "MaintainsAttention"
}
]
},
{
"id" : "Observation.component:unfinishedQuestionAnswer",
"path" : "Observation.component",
"sliceName" : "unfinishedQuestionAnswer",
"max" : "1"
},
{
"id" : "Observation.component:unfinishedQuestionAnswer.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007009"
}
]
}
},
{
"id" : "Observation.component:unfinishedQuestionAnswer.value[x]",
"path" : "Observation.component.value[x]",
"short" : "UnfinishedQuestionAnswer",
"definition" : "DOS observation: patient does not finish question or answer.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"VraagAntwoordNietAf"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.9",
"comment" : "UnfinishedQuestionAnswer"
}
]
},
{
"id" : "Observation.component:answersNoFit",
"path" : "Observation.component",
"sliceName" : "answersNoFit",
"max" : "1"
},
{
"id" : "Observation.component:answersNoFit.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007010"
}
]
}
},
{
"id" : "Observation.component:answersNoFit.value[x]",
"path" : "Observation.component.value[x]",
"short" : "AnswersNoFit",
"definition" : "DOS observation: patient gives answers that do not fit the question.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"AntwoordenNietPassend"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.10",
"comment" : "AnswersNoFit"
}
]
},
{
"id" : "Observation.component:reactsSlowly",
"path" : "Observation.component",
"sliceName" : "reactsSlowly",
"max" : "1"
},
{
"id" : "Observation.component:reactsSlowly.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007011"
}
]
}
},
{
"id" : "Observation.component:reactsSlowly.value[x]",
"path" : "Observation.component.value[x]",
"short" : "ReactsSlowly",
"definition" : "DOS observation: patient reacts slowly to instructions.\r\n\r\nSomeone reacts slowly to instructions when acting is delayed and/or there are moments of stillness/inactivity before moving into action.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"ReageertTraag"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.11",
"comment" : "ReactsSlowly"
}
]
},
{
"id" : "Observation.component:thinksSomewhereElse",
"path" : "Observation.component",
"sliceName" : "thinksSomewhereElse",
"max" : "1"
},
{
"id" : "Observation.component:thinksSomewhereElse.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007012"
}
]
}
},
{
"id" : "Observation.component:thinksSomewhereElse.value[x]",
"path" : "Observation.component.value[x]",
"short" : "ThinksSomewhereElse",
"definition" : "DOS observation: patient thinks they are somewhere else.\r\n\r\nSomeone thinks they are somewhere else when he/she shows this in words or actions.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"DenktErgensAnders"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.12",
"comment" : "ThinksSomewhereElse"
}
]
},
{
"id" : "Observation.component:knowsPartDay",
"path" : "Observation.component",
"sliceName" : "knowsPartDay",
"max" : "1"
},
{
"id" : "Observation.component:knowsPartDay.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007013"
}
]
}
},
{
"id" : "Observation.component:knowsPartDay.value[x]",
"path" : "Observation.component.value[x]",
"short" : "KnowsPartDay",
"definition" : "DOS observation: patient knows which part of the day it is.\r\n\r\nSomeone knows what part of the day it is when he/she shows such in words or actions.\r\n\r\nScore:\r\n1: never\r\n0: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"BeseftDagdeel"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.13",
"comment" : "KnowsPartDay"
}
]
},
{
"id" : "Observation.component:remembersRecent",
"path" : "Observation.component",
"sliceName" : "remembersRecent",
"max" : "1"
},
{
"id" : "Observation.component:remembersRecent.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007014"
}
]
}
},
{
"id" : "Observation.component:remembersRecent.value[x]",
"path" : "Observation.component.value[x]",
"short" : "RemembersRecent",
"definition" : "DOS observation: patient remembers recent events.\r\n\r\nSomeone remembers recent events when he/she can for example tell whether they had visitors or what he/she ate.\r\n\r\nScore:\r\n1: never\r\n0: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"HerinnertRecent"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.14",
"comment" : "RemembersRecent"
}
]
},
{
"id" : "Observation.component:restless",
"path" : "Observation.component",
"sliceName" : "restless",
"max" : "1"
},
{
"id" : "Observation.component:restless.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007015"
}
]
}
},
{
"id" : "Observation.component:restless.value[x]",
"path" : "Observation.component.value[x]",
"short" : "Restless",
"definition" : "DOS observation: patient is picking, disorderly, restless.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"Rusteloos"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.15",
"comment" : "Restless"
}
]
},
{
"id" : "Observation.component:pullsWires",
"path" : "Observation.component",
"sliceName" : "pullsWires",
"max" : "1"
},
{
"id" : "Observation.component:pullsWires.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007016"
}
]
}
},
{
"id" : "Observation.component:pullsWires.value[x]",
"path" : "Observation.component.value[x]",
"short" : "PullsWires",
"definition" : "DOS observation: patient pulls IV tubing, feeding tubes, catheters, etc.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"TrektDraden"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.16",
"comment" : "PullsWires"
}
]
},
{
"id" : "Observation.component:easilyEmotional",
"path" : "Observation.component",
"sliceName" : "easilyEmotional",
"max" : "1"
},
{
"id" : "Observation.component:easilyEmotional.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007017"
}
]
}
},
{
"id" : "Observation.component:easilyEmotional.value[x]",
"path" : "Observation.component.value[x]",
"short" : "EasilyEmotional",
"definition" : "DOS observation: patient is easily or suddenly emotional.\r\n\r\nSomeone is easily or suddenly emotional when he/she responds with a fierce emotion without provocation or when the fierceness of the emotion does not seem to match the provocation.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"SnelGeemotioneerd"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.17",
"comment" : "EasilyEmotional"
}
]
},
{
"id" : "Observation.component:hallucinations",
"path" : "Observation.component",
"sliceName" : "hallucinations",
"max" : "1"
},
{
"id" : "Observation.component:hallucinations.code",
"path" : "Observation.component.code",
"comment" : "This code aligns with the future version of this zib. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for details.",
"patternCodeableConcept" : {
"coding" : [
{
"system" : "urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1",
"code" : "18007018"
}
]
}
},
{
"id" : "Observation.component:hallucinations.value[x]",
"path" : "Observation.component.value[x]",
"short" : "Hallucinations",
"definition" : "DOS observation: patient sees/hears things which are not there.\r\n\r\nSomeone sees/hears things which are not there when he/she shows this verbally (ask!) or non-verbally.\r\n\r\nScore:\r\n0: never\r\n1: sometimes-always\r\n(if the answer is \"don't know\", do not instantiate this concept)",
"alias" : [
"Hallucinaties"
],
"type" : [
{
"code" : "integer"
}
],
"minValueInteger" : 0,
"maxValueInteger" : 1,
"mapping" : [
{
"identity" : "zib-dosscore-v1.0-2020EN",
"map" : "NL-CM:18.7.18",
"comment" : "Hallucinations"
}
]
}
]
},
"text" : {
}
}
XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.