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Resource StructureDefinition/FHIR Server from package nictiz.fhir.nl.r4.zib2020#0.11.0-beta.1 (79 ms)

Package nictiz.fhir.nl.r4.zib2020
Type StructureDefinition
Id Id
FHIR Version R4
Source https://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.11.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale
Url http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale
Status draft
Name ZibGlasgowComaScale
Title zib GlasgowComaScale
Experimental False
Realm nl
Authority hl7
Description Fifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score. The Glasgow Coma Scale score or EMV (Eye-Motor-Verbal) score is a scale to measure the extent of consciousness, based on eye, verbal and motor responses to specific prescribed sound and pain stimuli.
Purpose This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) GlasgowComaScale v3.2 (2020)](https://zibs.nl/wiki/GlasgowComaScale-v3.2(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

Resources that use this resource

StructureDefinition
http://nictiz.nl/fhir/StructureDefinition/nl-core-GlasgowComaScale nl core GlasgowComaScale

Resources that this resource uses

ValueSet
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000 ConditiesTijdensMetingCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000 GCS_EyesCodelijst
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000 GCS_MotorCodelijsten
http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000 GCS_VerbalCodelijsten


Narrative

Note: links and images are rebased to the (stated) source

No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.

Source

{
  "resourceType" : "StructureDefinition",
  "id" : "zib-GlasgowComaScale",
  "text" : {
    "status" : "empty",
    "div" : "<div xmlns=\"http://www.w3.org/1999/xhtml\">No narrative is provided for definitional resources. A human-readable rendering can be found in the implementation guide(s) where this resource is used.</div>"
  },
  "url" : "http://nictiz.nl/fhir/StructureDefinition/zib-GlasgowComaScale",
  "name" : "ZibGlasgowComaScale",
  "title" : "zib GlasgowComaScale",
  "status" : "draft",
  "publisher" : "Nictiz",
  "contact" : [
    {
      "name" : "Nictiz",
      "telecom" : [
        {
          "system" : "url",
          "value" : "https://www.nictiz.nl",
          "use" : "work"
        }
      ]
    }
  ],
  "description" : "Fifteen-point scale for expressing a person’s level of consciousness, from fully awake to deep unconsciousness, in a number: the so-called EMV score.\r\nThe Glasgow Coma Scale score or EMV (Eye-Motor-Verbal) score is a scale to measure the extent of consciousness, based on eye, verbal and motor responses to specific prescribed sound and pain stimuli.",
  "purpose" : "This Observation resource represents the Dutch [zib ('Zorginformatiebouwsteen', i.e. Health and Care Information Model) GlasgowComaScale v3.2 (2020)](https://zibs.nl/wiki/GlasgowComaScale-v3.2(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-glasgowcomascale-v3.2-2020EN",
      "uri" : "https://zibs.nl/wiki/GlasgowComaScale-v3.2(2020EN)",
      "name" : "zib GlasgowComaScale-v3.2(2020EN)"
    }
  ],
  "kind" : "resource",
  "abstract" : true,
  "type" : "Observation",
  "baseDefinition" : "http://hl7.org/fhir/StructureDefinition/Observation",
  "derivation" : "constraint",
  "differential" : {
    "element" : [
      {
        "id" : "Observation",
        "path" : "Observation",
        "short" : "GlasgowComaScale",
        "alias" : [
          "GlasgowComaScale"
        ],
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.1",
            "comment" : "GlasgowComaScale"
          }
        ]
      },
      {
        "id" : "Observation.code",
        "path" : "Observation.code",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://loinc.org",
              "code" : "35088-4"
            }
          ]
        }
      },
      {
        "id" : "Observation.effective[x]",
        "path" : "Observation.effective[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.effective[x]:effectiveDateTime",
        "path" : "Observation.effective[x]",
        "sliceName" : "effectiveDateTime",
        "short" : "GlasgowComaScaleDateTime",
        "definition" : "Time at which the EMV score was determined.",
        "alias" : [
          "GlasgowComaScaleDatumTijd"
        ],
        "type" : [
          {
            "code" : "dateTime"
          }
        ],
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.8",
            "comment" : "GlasgowComaScaleDateTime"
          }
        ]
      },
      {
        "id" : "Observation.value[x]",
        "path" : "Observation.value[x]",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "type",
              "path" : "$this"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.value[x]:valueInteger",
        "path" : "Observation.value[x]",
        "sliceName" : "valueInteger",
        "short" : "TotalScore",
        "definition" : "The sum of the EMV scores, expressed as a number on a scale from 3-15. The value does not have to be recorded, as it can always be calculated based on the individual scores, and as recording the total is not common for a difficult to determine individual score.",
        "alias" : [
          "TotaalScore"
        ],
        "type" : [
          {
            "code" : "integer"
          }
        ],
        "minValueInteger" : 3,
        "maxValueInteger" : 15,
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.10",
            "comment" : "TotalScore"
          }
        ]
      },
      {
        "id" : "Observation.note",
        "path" : "Observation.note",
        "max" : "1"
      },
      {
        "id" : "Observation.note.text",
        "path" : "Observation.note.text",
        "short" : "Comment",
        "definition" : "Comment on (the context of) the EMV score measurement, such as any problems or factors that may influence interpretation.",
        "alias" : [
          "Toelichting"
        ],
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.9",
            "comment" : "Comment"
          }
        ]
      },
      {
        "id" : "Observation.component",
        "path" : "Observation.component",
        "slicing" : {
          "discriminator" : [
            {
              "type" : "value",
              "path" : "code"
            }
          ],
          "rules" : "open"
        }
      },
      {
        "id" : "Observation.component:gcsEyes",
        "path" : "Observation.component",
        "sliceName" : "gcsEyes",
        "max" : "1"
      },
      {
        "id" : "Observation.component:gcsEyes.code",
        "path" : "Observation.component.code",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "281395000"
            }
          ]
        }
      },
      {
        "id" : "Observation.component:gcsEyes.value[x]",
        "path" : "Observation.component.value[x]",
        "short" : "GCS_Eyes",
        "definition" : "Best eye response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias" : [
          "GCS_Eyes"
        ],
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.1--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.2",
            "comment" : "GCS_Eyes"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsMotor",
        "path" : "Observation.component",
        "sliceName" : "gcsMotor",
        "max" : "1"
      },
      {
        "id" : "Observation.component:gcsMotor.code",
        "path" : "Observation.component.code",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "281396004"
            }
          ]
        }
      },
      {
        "id" : "Observation.component:gcsMotor.value[x]",
        "path" : "Observation.component.value[x]",
        "short" : "GCS_Motor",
        "definition" : "Best motor response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias" : [
          "GCS_Motor"
        ],
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.5--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.4",
            "comment" : "GCS_Motor"
          }
        ]
      },
      {
        "id" : "Observation.component:gcsVerbal",
        "path" : "Observation.component",
        "sliceName" : "gcsVerbal",
        "max" : "1"
      },
      {
        "id" : "Observation.component:gcsVerbal.code",
        "path" : "Observation.component.code",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "281397008"
            }
          ]
        }
      },
      {
        "id" : "Observation.component:gcsVerbal.value[x]",
        "path" : "Observation.component.value[x]",
        "short" : "GCS_Verbal",
        "definition" : "Best verbal response to a stimulus. The element is mandatory, but does not require a numerical value. If no value is given, the reason for this is to be provided in the ConditionsDuringMeasurement concept.",
        "alias" : [
          "GCS_Verbal"
        ],
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "required",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.121.11.6--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.6",
            "comment" : "GCS_Verbal"
          }
        ]
      },
      {
        "id" : "Observation.component:conditionsDuringMeasurement",
        "path" : "Observation.component",
        "sliceName" : "conditionsDuringMeasurement"
      },
      {
        "id" : "Observation.component:conditionsDuringMeasurement.code",
        "path" : "Observation.component.code",
        "comment" : "The code to identify this concept (SNOMED 271000124103) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-2040](https://bits.nictiz.nl/browse/ZIB-2040) for more information.",
        "patternCodeableConcept" : {
          "coding" : [
            {
              "system" : "http://snomed.info/sct",
              "code" : "271000124103"
            }
          ]
        }
      },
      {
        "id" : "Observation.component:conditionsDuringMeasurement.value[x]",
        "path" : "Observation.component.value[x]",
        "short" : "ConditionsDuringMeasurement",
        "definition" : "Conditions during the measurement that prevent one or more of the subscores from being determined (non testable), such as,e.g. intubation during testing of GCS_Verbal.",
        "alias" : [
          "ConditiesTijdensMeting"
        ],
        "type" : [
          {
            "code" : "CodeableConcept"
          }
        ],
        "binding" : {
          "strength" : "extensible",
          "valueSet" : "http://decor.nictiz.nl/fhir/ValueSet/2.16.840.1.113883.2.4.3.11.60.40.2.12.8.6--20200901000000"
        },
        "mapping" : [
          {
            "identity" : "zib-glasgowcomascale-v3.2-2020EN",
            "map" : "NL-CM:12.8.11",
            "comment" : "ConditionsDuringMeasurement"
          }
        ]
      }
    ]
  }
}

XIG built as of ??metadata-date??. Found ??metadata-resources?? resources in ??metadata-packages?? packages.