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FHIR IG Statistics: StructureDefinition/zib-DOSScore

Packagenictiz.fhir.nl.r4.zib2020
TypeStructureDefinition
Idzib-DOSScore
FHIR VersionR4
Sourcehttps://simplifier.net/resolve?scope=nictiz.fhir.nl.r4.zib2020@0.12.0-beta.1&canonical=http://nictiz.nl/fhir/StructureDefinition/zib-DOSScore
URLhttp://nictiz.nl/fhir/StructureDefinition/zib-DOSScore
Statusdraft
NameZibDOSScore
Titlezib DOSScore
Realmnl
Authorityhl7
DescriptionThe 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.
PurposeThis 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)).
CopyrightCopyright 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.
TypeObservation
Kindresource

Resources that use this resource

StructureDefinition
nl-core-DOSScorenl core DOSScore

Resources that this resource uses

No resources found


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-DOSScore",
  "text": {
    "status": "empty",
    "div": "<!-- snip (see above) -->"
  },
  "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": "The code to identify this concept (SNOMED 55681000146102) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "patternCodeableConcept": {
          "coding": [
            {
              "system": "http://snomed.info/sct",
              "code": "55681000146102"
            }
          ]
        }
      },
      {
        "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": "The code to identify this concept (18007006 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007007 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007008 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007009 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007010 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007011 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007012 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007013 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007014 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007015 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007016 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007017 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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": "The code to identify this concept (18007018 in code system urn:oid:2.16.840.1.113883.2.4.3.11.60.40.4.0.1) aligns with the next version of the zib, since the current version doesn't provide a code. See [ZIB-1674](https://bits.nictiz.nl/browse/ZIB-1674) for more information.",
        "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"
          }
        ]
      }
    ]
  }
}